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Individual

MS. SAMANTHA ANN FOLSOM

Active
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Individual

MS. SAMANTHA ANN FOLSOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
SP020278
PA
363L00000X
Nurse Practitioner
APRN11009314
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11009314
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1255482089
PA
Enumeration date
08/08/2018
Last updated
10/17/2024
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