Talona Sue Carpenter-Schultz, N.P.

Individual provider Active NPI Primary Care Nurse Practitioner · Springfield, MI

NPI 1083167100 · NPPES record last updated Jan 12, 2017

Key facts

NPI
1083167100
Entity type
Individual (NPI type 1)
Primary specialty
Primary Care Nurse Practitioner 363LP2300X
License
4704217211 (MI)
Practice address
322 McIntyre LN
Springfield, MI 49037-7685
Phone
(269) 209-3843
NPI assigned
Jul 25, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovation Medicine, PLLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 4704217211 MI Yes

Addresses

Primary practice location

322 McIntyre LN
Springfield, MI 49037-7685

Mailing address

8932 9 1/2 Mile Rd
Ceresco, MI 49033-9697
Phone (269) 209-3843

Other providers in Springfield, MI

All providers in Springfield, MI · Primary Care Nurse Practitioner in Michigan

Sources for this page

Verify at the official NPI Registry.