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Individual
SAMANTHA BLOOD
Active
Individual
SAMANTHA BLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP015478
PA
363LF0000X
Family Nurse Practitioner
RN632842
PA
363LF0000X
Family Nurse Practitioner
SP015478
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP015478
LICENSE
PA
Enumeration date
10/01/2015
Last updated
01/07/2022
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