Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mitra S. Shultz, PA-C

Individual provider Physician Assistant · NPI 1831600667

Mitra S. Shultz, PA-C is a Physician Assistant in Granite City, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2044 Madison Ave Ste 6
Granite City, IL 62040-4659
Phone: (618) 798-3475
Fax: (618) 798-3868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085006383 (IL)

Record details

NPI number1831600667
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 19, 2017
Last updated in NPPESOctober 19, 2017
Mailing address2044 Madison Ave Ste 6, Granite City, IL 62040-4659

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