Provider Demographics
NPI:1801527353
Name:SCHUSTER, JACQUELINE MICHELLE (CRNA)
Entity type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:MICHELLE
Last Name:SCHUSTER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:JACKIE
Other - Middle Name:
Other - Last Name:SCHUSTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:485 W CALIFORNIA BLVD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-1633
Mailing Address - Country:US
Mailing Address - Phone:626-260-3381
Mailing Address - Fax:
Practice Address - Street 1:CHLA
Practice Address - Street 2:4650 SUNSET BLVD
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027
Practice Address - Country:US
Practice Address - Phone:323-660-2450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95089271163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse