Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | R95598-0 | MN |
N | 363LN0000X | Nurse Practitioner - Neonatal | R95598-0 | MN |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | R 95598-0 | MN |
NPI | 1306124821 |
---|---|
Provider Name | Mrs. Nancy Lynn Schult |
First Address | Cottage Grove, MN 55016-4935 |
Second Address | Minneapolis, MN 55407-3723 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2011 |
Last Update Date | 17/03/2018 |