Schultz, Sue Ellen

Schultz, Sue Ellen is an individual health care provider with primary practice located at 525 N Garland Ave , Fayetteville AR 72701-3110. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Schultz, Sue Ellen can be contacted via phone (479) 575-6479.

Contact Information

Primary practice address
525 N Garland Ave Fayetteville AR 72701-3110
Phone: (479) 575-6479
Fax: (479) 575-8793
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A01541 Arkansas

Profile Details

NPI number 1043245319
LBN Legal business name Schultz, Sue Ellen
Credentials A.P.N., F.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043245319 NPPES
Arkansas Other R66359 R.N.
Arkansas Other MS0583698 R.N.
Arkansas Other A01541 R.N.

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