Individual provider · Type 1 NPI
Tara Brooke Schultz
Adult Health Nurse Practitioner · Grand Rapids, MI
NPI number
1679904379
Active
Practice location
275 Michigan St NE
Grand Rapids, MI 49503-2531
Fax (616) 267-7901
Mailing address
100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 4704320597 (MI) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1679904379
Tara Brooke Schultz's National Provider Identifier is 1679904379, issued on Dec 5, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 9, 2024.