Provider Demographics
NPI:1043368475
Name:SCHULZE, ERIKA (NP)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:SCHULZE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 APEX DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HIGHLAND
Mailing Address - State:IL
Mailing Address - Zip Code:62249-1285
Mailing Address - Country:US
Mailing Address - Phone:618-651-2727
Mailing Address - Fax:618-654-7905
Practice Address - Street 1:30 APEX DR
Practice Address - Street 2:SUITE 2
Practice Address - City:HIGHLAND
Practice Address - State:IL
Practice Address - Zip Code:62249-1285
Practice Address - Country:US
Practice Address - Phone:618-651-2727
Practice Address - Fax:618-654-7905
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209006180363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL808300008Medicare PIN