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Individual
SAMANTHA LYNN WARE CROUCH
Active
Individual
SAMANTHA LYNN WARE CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10116
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP10116
AZ BOARD OF NURSING
AZ
01
—
F05170421
AANP CERTIFICATION
—
01
—
RN169564
RN LICENSE
AZ
Enumeration date
05/24/2017
Last updated
01/16/2023
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