MEDICARE: MRS. STEPHANIE SCHUSTER N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	0024172947	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0024172947	OTHER	VA	LICENSE TO PRACTICE AS A NURSE PRACTITIONER
2	0001180806	OTHER	VA	LICENSE TO PRACTICE AS A REGISTERED NURSE

General Provider Information

NPI Number	:	1235598970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. STEPHANIE SCHUSTER N.P.

Provider Business Mailing Address
First Line	:	3009 DOUGLASDALE RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23221-3615
Country	:	US
Telephone Number	:	804-212-4247
Fax Number	:

Provider Business Practice Location Address
First Line	:	3009 DOUGLASDALE RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23221-3615
Country	:	US
Telephone Number	:	804-212-4247
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2016
Last Update Date	:	02/22/2016

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