Provider Demographics
NPI:1386669463
Name:SCHUSTER, RENEE L (PA-C, MMS)
Entity Type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:L
Last Name:SCHUSTER
Suffix:
Gender:F
Credentials:PA-C, MMS
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:L
Other - Last Name:KIRCHNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C, MMS
Mailing Address - Street 1:145 INVERNESS DR E
Mailing Address - Street 2:STE 100
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-5172
Mailing Address - Country:US
Mailing Address - Phone:303-697-7463
Mailing Address - Fax:303-783-1200
Practice Address - Street 1:145 INVERNESS DR E
Practice Address - Street 2:STE 100
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-5172
Practice Address - Country:US
Practice Address - Phone:303-697-7463
Practice Address - Fax:303-783-1200
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2415363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP08439Medicare UPIN