Provider Demographics
NPI:1194890145
Name:SCHUTZ, LINDA MARIE (RNC, FNP)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:MARIE
Last Name:SCHUTZ
Suffix:
Gender:F
Credentials:RNC, FNP
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:MARIE
Other - Last Name:HEIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:90 E GRANDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:SIERRA MADRE
Mailing Address - State:CA
Mailing Address - Zip Code:91024-1909
Mailing Address - Country:US
Mailing Address - Phone:626-355-7632
Mailing Address - Fax:626-599-8030
Practice Address - Street 1:701 E FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:AZUSA
Practice Address - State:CA
Practice Address - Zip Code:91702-2606
Practice Address - Country:US
Practice Address - Phone:626-815-5403
Practice Address - Fax:626-815-5414
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA243937363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP97866Medicare UPIN