Provider Demographics
NPI:1508828872
Name:SCHULTZ, DONNA MARIE (DNP, APRN, NNP-BC, C)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:MARIE
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:DNP, APRN, NNP-BC, C
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:MARIE
Other - Last Name:LOSASSO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, APRN, NNP-BC
Mailing Address - Street 1:4317 DENHAM WAY
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024
Mailing Address - Country:US
Mailing Address - Phone:972-837-7276
Mailing Address - Fax:
Practice Address - Street 1:PEDIATRIC HEALTH SPECIALISTS
Practice Address - Street 2:6750 N. MAC ARTHUR BLVD. SUITE 303
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039
Practice Address - Country:US
Practice Address - Phone:972-853-5033
Practice Address - Fax:972-330-4931
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX632663363LN0000X
TXAP11745363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal