Provider Demographics
NPI:1902258502
Name:SCHULTZ, KARISSA MARIE (APRN, CNP)
Entity Type:Individual
Prefix:
First Name:KARISSA
Middle Name:MARIE
Last Name:SCHULTZ
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Gender:F
Credentials:APRN, CNP
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Mailing Address - Street 1:ESSENTIA HEALTH DULUTH CLINIC MSS 6AV1-PE
Mailing Address - Street 2:400 EAST THIRD STREET
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55805-1951
Mailing Address - Country:US
Mailing Address - Phone:218-786-1183
Mailing Address - Fax:
Practice Address - Street 1:115 10TH AVENUE NE SUITE A
Practice Address - Street 2:ESSENTIA HEALTH DEER RIVER CLINIC
Practice Address - City:DEER RIVER
Practice Address - State:MN
Practice Address - Zip Code:56636-8795
Practice Address - Country:US
Practice Address - Phone:218-246-8275
Practice Address - Fax:218-246-8279
Is Sole Proprietor?:No
Enumeration Date:2016-07-07
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN2366124363LA2200X
NDR37224363LP2300X, 363L00000X
MN4700363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner