Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MITRA S. SHULTZ, PA-C
ActiveMITRA S. SHULTZ, PA-C is a Physician Assistant healthcare provider located in GRANITE CITY, Illinois. NPI 1831600667 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GRANITE CITY, IL
Registration Details
- NPI Number
- 1831600667
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 19, 2017 (8.6743293435549 yrs)
- Last Updated
- Oct 19, 2017
- License
-
085006383 (IL)
Practice Information
- Address
-
2044 MADISON AVE STE 6GRANITE CITY, IL, 620404659Browse IL providers · Browse ZIP 62040
- Phone
- 6187983475
- Fax
- 6187983868
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GRANITE CITY, IL
| Name | Credential | NPI |
|---|---|---|
| MR. EDWARD CARL ANDERSON | PA | 1326104910 |
| HANNAH ZIEGLER | PA-C | 1245787472 |
| ROBERT MONTGOMERY | — | 1447787544 |
| ZACHARY TRUSSLER | — | 1376259630 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.