Healthcare Provider Details

I. General information

NPI: 1639778277
Provider Name (Legal Business Name): LINDSAY MARIE SCHULZ MUSTARD PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2020
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

470 S PATTERSON AVE
SANTA BARBARA CA
93111-2404
US

IV. Provider business mailing address

2930 11TH AVE
EVANS CO
80620-1011
US

V. Phone/Fax

Practice location:
  • Phone: 805-681-7500
  • Fax:
Mailing address:
  • Phone: 970-350-4606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number6709
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA61745
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: