Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 173931 | MD |
N | 363LG0600X | Nurse Practitioner - Gerontology | 173931 | MD |
NPI | 1053755140 |
---|---|
Provider Name | Miss Emily Theresa Schultz |
First Address | Baltimore, MD 21224-5117 |
Second Address | Towson, MD 21286-8403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2013 |
Last Update Date | 03/08/2015 |