Provider Demographics
NPI:1689461204
Name:SCHULTZ, KRISTA (MSN, APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:751 BENEFACTOR DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26501-1123
Mailing Address - Country:US
Mailing Address - Phone:304-974-3100
Mailing Address - Fax:
Practice Address - Street 1:751 BENEFACTOR DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26501-1123
Practice Address - Country:US
Practice Address - Phone:304-974-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV114032363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner