Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 26 | MN |
N | 363L00000X | Nurse Practitioner | R1430187 | MN |
N | 363LN0000X | Nurse Practitioner - Neonatal | R1430187 | MN |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | R1430187 | MN |
NPI | 1356471098 |
---|---|
Provider Name | Julie A Wirth Schuster |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2007 |
Last Update Date | 10/08/2020 |