Provider Demographics
NPI:1063208023
Name:SCHULTZ, PAIGE B (RN)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:B
Last Name:SCHULTZ
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2341 TENBROOK RD
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MO
Mailing Address - Zip Code:63010-2331
Mailing Address - Country:US
Mailing Address - Phone:314-809-2889
Mailing Address - Fax:
Practice Address - Street 1:2341 TENBROOK RD
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MO
Practice Address - Zip Code:63010-2331
Practice Address - Country:US
Practice Address - Phone:314-809-2889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023021991163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse