# SAMANTHA GAIL STREET

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1023248630
- **Gender:** F
- **Credential:** RN,FA,CNOR

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | RN0000152703 | TN | Yes |

## Other

- **Enumeration date:** 07/16/2009
- **Last updated:** 07/16/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 085478 | RN, CNOR | — |
| 01 | — | RN0000152703 | RN LICENSE | TN |