Individual provider · Type 1 NPI

Samantha Christine Shankshaw

Emergency Registered Nurse · South Bend, IN

NPI number 1114868833 Active

Practice location

615 N Michigan St
South Bend, IN 46601-1033

Call (574) 647-1000 Map

Mailing address

66305 State Road 15
Goshen, IN 46526-5490

Specialties and licenses

Taxonomy	Code	License
Emergency Registered Nurse Primary	163WE0003X	28267952A (IN)

Emergency Registered Nurse: Definition to come...

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About NPI 1114868833

Samantha Christine Shankshaw's National Provider Identifier is 1114868833, issued on Apr 6, 2026. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in South Bend, IN. The record was last updated on Apr 6, 2026.