Provider Demographics
NPI:1790139947
Name:SCHULZE, WENDI CHRISTINE (FNP-C)
Entity Type:Individual
Prefix:
First Name:WENDI
Middle Name:CHRISTINE
Last Name:SCHULZE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 PRICEMONT DR
Mailing Address - Street 2:
Mailing Address - City:OLIVETTE
Mailing Address - State:MO
Mailing Address - Zip Code:63132-4325
Mailing Address - Country:US
Mailing Address - Phone:310-560-6985
Mailing Address - Fax:
Practice Address - Street 1:16759 MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:WILDWOOD
Practice Address - State:MO
Practice Address - Zip Code:63040-1232
Practice Address - Country:US
Practice Address - Phone:636-821-1661
Practice Address - Fax:636-821-1665
Is Sole Proprietor?:No
Enumeration Date:2016-04-13
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60940483363LF0000X
CA95004142363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily