Provider Demographics
NPI:1730512187
Name:SCHULTZ, ALISON SUE (APRN-CNP)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:SUE
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:DEFIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:43512-2440
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1426 SCOTT ST
Practice Address - Street 2:
Practice Address - City:NAPOLEON
Practice Address - State:OH
Practice Address - Zip Code:43545-1026
Practice Address - Country:US
Practice Address - Phone:419-599-5600
Practice Address - Fax:419-566-7834
Is Sole Proprietor?:No
Enumeration Date:2013-08-20
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHF06131206363LA2200X
OHAPRN.CNP.14719363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH379749OtherRN LICENSE
OH3036548Medicaid
OHCOA.14719-NPOtherCOA STATE OF OHIO
OHF06131206OtherAANP CERTIFICATION