Individual provider · Type 1 NPI

Shuba Samuel, FNP, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Appleton, WI

NPI number 1326324385 Active

Practice location

10 Tri Park Way # Wi
Appleton, WI 54914-1658

Call (920) 831-0070 Map

Mailing address

718 Range St
Manistique, MI 49854-1644

Other practice locations

  • 4650 S Howell Ave, Milwaukee, WI 53207-5908 · (414) 376-5577

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X4599 (WI)
Family Nurse Practitioner 363LF0000X4599 (WI)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1326324385

Shuba Samuel, FNP, PMHNP's National Provider Identifier is 1326324385, issued on Oct 21, 2011. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Appleton, WI. The record was last updated on Jul 7, 2026.