Provider Demographics
NPI:1508818238
Name:SCHULZ, CATHERINE A (NP)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:A
Last Name:SCHULZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 W FOREST HOME AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53215-2843
Mailing Address - Country:US
Mailing Address - Phone:414-649-3240
Mailing Address - Fax:414-649-3244
Practice Address - Street 1:2801 W KINNICKINNIC RIVER PKWY STE 575
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53215-5200
Practice Address - Country:US
Practice Address - Phone:414-649-3240
Practice Address - Fax:414-649-3244
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI127700363L00000X
WI2627363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
039906262GOtherHUMANA
WI41261500Medicaid
Q50823Medicare UPIN
0047S73601Medicare ID - Type Unspecified