Provider Demographics
NPI:1902782915
Name:SCHULTZ, SHERRY
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 BETTY LANE
Mailing Address - Street 2:
Mailing Address - City:CLOTHIER
Mailing Address - State:WV
Mailing Address - Zip Code:25047
Mailing Address - Country:US
Mailing Address - Phone:304-560-7833
Mailing Address - Fax:
Practice Address - Street 1:113 BETTY LANE
Practice Address - Street 2:
Practice Address - City:CLOTHIER
Practice Address - State:WV
Practice Address - Zip Code:25047
Practice Address - Country:US
Practice Address - Phone:304-560-7833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant