Provider Demographics
NPI:1326212549
Name:SCHULTZ, AMY JOYCE (RN, BSN, MS)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:JOYCE
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:RN, BSN, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337 MALONE RD
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75901-1247
Mailing Address - Country:US
Mailing Address - Phone:936-637-7350
Mailing Address - Fax:
Practice Address - Street 1:337 MALONE RD
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75901-1247
Practice Address - Country:US
Practice Address - Phone:936-637-7350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX239619163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse