National Provider Identifier

Holly Marie Shultz, LPN

Holly Marie Shultz, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Lyons, NY and a listed phone number of (315) 398-8892.

NPI 1770800690Lyons, NYLicensed Practical Nurse

Profile Overview

NPI
1770800690
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 02, 2010
Last Updated
May 02, 2010

Practice Location

  • 7337 Emmel RD
  • Lyons, NY 14489-9141

Phone: (315) 398-8892

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1770800690
Entity Type
Individual
Last Name
Shultz
First Name
Holly
Middle Name
Marie
Credential
LPN
Provider Other Last Name
Horton
Provider Other First Name
Holly
Provider Other Middle Name
Marie
Provider Other Credential Text
LPN
Provider Other Last Name Type Code
1
Mailing Street Address
7337 Emmel RD
Mailing City
Lyons
Mailing State
NY
Mailing ZIP Code
14489-9141
Mailing Country
US
Mailing Phone
(315) 398-8892
Practice Street Address
7337 Emmel RD
Practice City
Lyons
Practice State
NY
Practice ZIP Code
14489-9141
Practice Country
US
Practice Phone
(315) 398-8892
Enumeration Date
May 02, 2010
Last Updated
May 02, 2010
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)