Healthcare Provider Details

I. General information

NPI: 1740683036
Provider Name (Legal Business Name): MONICA L SCHUSTER APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MONICA L CALVIN

II. Dates (important events)

Enumeration Date: 10/01/2014
Last Update Date: 10/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 COLDWATER CREEK DR
WAUKESHA WI
53188-8028
US

IV. Provider business mailing address

4555 W SCHROEDER DR SUITE 170
MILWAUKEE WI
53223-1475
US

V. Phone/Fax

Practice location:
  • Phone: 262-521-8800
  • Fax: 262-521-8870
Mailing address:
  • Phone: 414-365-3210
  • Fax: 414-365-3225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5733-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: