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Individual
MS. SAMANTHA D SIXIEME
Active
Individual
MS. SAMANTHA D SIXIEME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024171266
VA
363LF0000X
Family Nurse Practitioner
Primary
15242
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q049160
—
TN
Enumeration date
03/08/2011
Last updated
05/26/2022
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