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SAMANTHA BETH ANDERSON CNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1336686708

Individual Registrant:
 SAMANTHA BETH ANDERSON CNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1205 MCLAIN ST  NEWPORT, AR 72112-3533 US
Tel: 870-523-8911  Fax: 870-512-3455

Contact information for business:
1205 MCLAIN ST  NEWPORT, AR 72112-3533 US
Tel: 870-523-8911  Fax: 870-512-3455

Registration Information:
NPI: 1336686708
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AR216639
N364SA2200XPhysician Assistants & Advanced Practice Nursing Providers
Clinical Nurse Specialist
ARS002305

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
218616758AR05




HEALTH CARE JOBS AR - Page 1



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