Female

Elise R. Schutt FNP

Nurse Practitioner in Newburgh, IN(View on Map)

Full Name

Elise Renee Schutt FNP

NPI Number

1215237565

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/02/2010

Specialties

(Taxonomies)

Code

363L00000X
207Q00000X

Primary Taxonomy

Yes
No

Licenses

State

Indiana

License Number

71003427A

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 3276
3799 VENETIAN WAY

City

Evansville
Newburgh

State

IN
IN

Postal Code

47731-3276
47630-8278

Country

US
US

Telephone Number

(812) 473-0181
(812) 471-4302

Identifiers

Identifier

000000841512
201146320
P01263642

Identifier State

IN
IN
IN

Identifier Issuer

ANTHEM
Unknown
RAILROAD MEDICARE

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

Elise@direct.practicefusion.com

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

3799 Venetian WayNewburgh, IN476308278US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/27/2024

Provider Address

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