Provider Demographics
NPI:1003083718
Name:SCHULZ, JANETTE M (ARNP)
Entity Type:Individual
Prefix:
First Name:JANETTE
Middle Name:M
Last Name:SCHULZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1223 S GEAR AVE
Mailing Address - Street 2:STE 208
Mailing Address - City:WEST BURLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52655-1682
Mailing Address - Country:US
Mailing Address - Phone:319-752-4541
Mailing Address - Fax:319-752-2972
Practice Address - Street 1:1223 S GEAR AVE
Practice Address - Street 2:STE 208
Practice Address - City:WEST BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52655-1682
Practice Address - Country:US
Practice Address - Phone:319-752-4541
Practice Address - Fax:319-752-2972
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA063970363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAP00876854OtherRAILROAD MEDICARE
IA1003083718OtherWELLMARK
IA1003083718Medicaid
IAI43730047Medicare PIN