Provider Demographics
NPI:1861078123
Name:SCHUSTER, SAMANTHA ROSE (PA-C)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:ROSE
Last Name:SCHUSTER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 N 32ND ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68003-1000
Mailing Address - Country:US
Mailing Address - Phone:605-661-9183
Mailing Address - Fax:
Practice Address - Street 1:1300 E 19TH ST
Practice Address - Street 2:
Practice Address - City:ATLANTIC
Practice Address - State:IA
Practice Address - Zip Code:50022-2887
Practice Address - Country:US
Practice Address - Phone:737-226-6700
Practice Address - Fax:877-384-3106
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-18
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant