Samuel, Shuba

Samuel, Shuba is an individual health care provider with primary practice located at 10 Tri Park Way # Wi , Appleton WI 54914-1658. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Samuel, Shuba can be contacted via phone (920) 831-0070.

Contact Information

Primary practice address
10 Tri Park Way # Wi Appleton WI 54914-1658
Phone: (920) 831-0070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4599 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4599 Wisconsin

Profile Details

NPI number 1326324385
LBN Legal business name Samuel, Shuba
Credentials FNP, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2011
Last updated Jul 7th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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