Shultman, Debra S
Shultman, Debra S is an individual health care provider with primary practice located at 766 N Sun Dr Ste 3030 , Lake Mary FL 32746-2555. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Nephrology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Shultman, Debra S can be contacted via phone (407) 444-2800.Contact Information
Primary practice address
766 N Sun Dr Ste 3030
Lake Mary FL 32746-2555
Phone: (407) 444-2800
Fax: (407) 444-2810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Nephrology | 163WN0300X | ARNP9371456 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 900474 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP9371456 | Florida |
Profile Details
| NPI number | 1245296839 |
|---|---|
| LBN Legal business name | Shultman, Debra S |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245296839 | NPPES |
| North Carolina | MEDICAID | 7003891 | |
| North Carolina | Other | EIN |
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