Provider Demographics
NPI:1386276434
Name:SHUBERT, ABIGAYLE ROSE (PA-C)
Entity type:Individual
Prefix:
First Name:ABIGAYLE
Middle Name:ROSE
Last Name:SHUBERT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ABIGAYLE
Other - Middle Name:ROSE
Other - Last Name:MCGREW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:706 S HIGH ST
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:MO
Mailing Address - Zip Code:64730-1833
Mailing Address - Country:US
Mailing Address - Phone:660-200-7135
Mailing Address - Fax:
Practice Address - Street 1:706 S HIGH ST
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:MO
Practice Address - Zip Code:64730-1833
Practice Address - Country:US
Practice Address - Phone:660-200-7135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-06
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant