Provider Demographics
NPI:1093922148
Name:SCHULTZ, CYNTHIA TERESE (RN)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:TERESE
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3933 E. RIO VIRGIN RD
Mailing Address - Street 2:PO BOX 1085
Mailing Address - City:LITTLEFIELD
Mailing Address - State:AZ
Mailing Address - Zip Code:86432
Mailing Address - Country:US
Mailing Address - Phone:928-347-6064
Mailing Address - Fax:
Practice Address - Street 1:3933 E. RIO VIRGIN RD
Practice Address - Street 2:
Practice Address - City:LITTLEFIELD
Practice Address - State:AZ
Practice Address - Zip Code:86432
Practice Address - Country:US
Practice Address - Phone:928-347-6064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN145587163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical