Individual
SAMANTHA CHRISTINE SHANKSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1033
(574) 647-1000
Mailing address
66305 STATE ROAD 15, GOSHEN, IN 46526-5490
(574) 536-9080
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28267952A
IN
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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