Provider Demographics
NPI:1629572649
Name:SCHULTZ, MICHELLE LYNN (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:LYNN
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
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Mailing Address - Street 1:333 N SUMMIT STREET ; 7TH FLOOR
Mailing Address - Street 2:HEARTLAND CARE PARTNERS
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-2615
Mailing Address - Country:US
Mailing Address - Phone:419-252-6018
Mailing Address - Fax:800-564-5952
Practice Address - Street 1:815 E LOCUST STREET
Practice Address - Street 2:HEARTLAND CARE PARTNERS
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52803-4345
Practice Address - Country:US
Practice Address - Phone:800-427-1902
Practice Address - Fax:419-531-2664
Is Sole Proprietor?:No
Enumeration Date:2018-03-23
Last Update Date:2023-03-29
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Provider Licenses
StateLicense IDTaxonomies
IAA111366363L00000X
IL209017321363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner