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Individual
MISS SAMANTHA MANUEL I
Active
Individual
MISS SAMANTHA MANUEL I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19279
TN
363LF0000X
Family Nurse Practitioner
5007356
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013314384
—
VA
05
—
Q014674
—
TN
Enumeration date
12/02/2014
Last updated
02/16/2017
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