Provider Demographics
NPI:1396622502
Name:SCHULTZ, LAYLA DARLENE
Entity type:Individual
Prefix:
First Name:LAYLA
Middle Name:DARLENE
Last Name:SCHULTZ
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1812 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502-2627
Mailing Address - Country:US
Mailing Address - Phone:402-314-8061
Mailing Address - Fax:
Practice Address - Street 1:1812 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502-2627
Practice Address - Country:US
Practice Address - Phone:402-314-8061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion