Basic Information
| Provider Information | |||||||||
| NPI: | 1619988409 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHULTZ | ||||||||
| FirstName: | STEPHANIE | ||||||||
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| Credential: | NMW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2210 MESA DR | ||||||||
| Address2: | SUITE 5 | ||||||||
| City: | OCEANSIDE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920543756 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7607575841 | ||||||||
| FaxNumber: | 7609674863 | ||||||||
| Practice Location | |||||||||
| Address1: | 2210 MESA DR | ||||||||
| Address2: | SUITE 5 | ||||||||
| City: | OCEANSIDE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920543756 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7607575841 | ||||||||
| FaxNumber: | 7609674863 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/10/2006 | ||||||||
| LastUpdateDate: | 11/10/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367A00000X | NMW1534 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
No ID Information.