Provider Demographics
NPI:1023590833
Name:SHULTZ, HILLARY JEAN
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:JEAN
Last Name:SHULTZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18818 E MARLIN DR
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99027-9560
Mailing Address - Country:US
Mailing Address - Phone:509-215-0473
Mailing Address - Fax:
Practice Address - Street 1:18818 E MARLIN DR
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99027-9560
Practice Address - Country:US
Practice Address - Phone:509-215-0473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00164928163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse