Provider Demographics
NPI:1962728089
Name:SCHUSTER, RIKKI ROSE (PA)
Entity type:Individual
Prefix:MRS
First Name:RIKKI
Middle Name:ROSE
Last Name:SCHUSTER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:306 EAGLE DR
Mailing Address - Street 2:
Mailing Address - City:KILL DEVIL HILLS
Mailing Address - State:NC
Mailing Address - Zip Code:27948-8605
Mailing Address - Country:US
Mailing Address - Phone:252-202-2007
Mailing Address - Fax:252-480-4608
Practice Address - Street 1:306 EAGLE DR
Practice Address - Street 2:
Practice Address - City:KILL DEVIL HILLS
Practice Address - State:NC
Practice Address - Zip Code:27948-8605
Practice Address - Country:US
Practice Address - Phone:252-202-2007
Practice Address - Fax:252-480-4608
Is Sole Proprietor?:No
Enumeration Date:2010-04-14
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC103018363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical