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Individual
SAMANTHA MICHELLE PRIMAVERA
Active
Individual
SAMANTHA MICHELLE PRIMAVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
6217771-3102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6217771-4405
UT
Other
Enumeration date
09/21/2024
Last updated
05/14/2026
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