Provider Demographics
NPI:1003144536
Name:SCHULTZ, CATHERINE (DNP, MN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:DNP, MN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 E 12300 S STE R400
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-4102
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:131 E 12300 S STE R400
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-4102
Practice Address - Country:US
Practice Address - Phone:385-287-1877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-20
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024168513363LF0000X, 363LF0000X
DCRN1017399363LF0000X, 363LF0000X
UT5813955-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily