Healthcare Provider Details

I. General information

NPI: 1174176762
Provider Name (Legal Business Name): AMY ELIZABETH SCHUSTER NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2019
Last Update Date: 10/04/2020
Certification Date: 10/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16862 BECKWITH ST STE S
FRENCHTOWN MT
59834-9001
US

IV. Provider business mailing address

22 KERI CT
ALBERTON MT
59820-8510
US

V. Phone/Fax

Practice location:
  • Phone: 406-541-4700
  • Fax: 406-541-4701
Mailing address:
  • Phone: 406-241-5421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberNUR-RN-LIC-96527
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNUR-APRN-LIC-160713
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: