Individual
MR. ERIC EDWIN SAMUELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2485 SUNRISE BLVD STE A, GOLD RIVER, CA 95670-4344
(916) 642-1867
Mailing address
2485 SUNRISE BLVD STE A, GOLD RIVER, CA 95670-4344
(630) 999-1317
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
95111821
CA
363LF0000X
Family Nurse Practitioner
Primary
95035816
CA
Other
Enumeration date
05/21/2025
Last updated
04/06/2026
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