Individual
SAMANTHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 CONCORD RD, YORK, PA 17402-9007
(717) 840-7580
Mailing address
28 WHIMBREL CT, LILLINGTON, NC 27546-5240
(443) 605-8381
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
701985
PA
363LP2300X
Primary Care Nurse Practitioner
Primary
374366
NC
363LP2300X
Primary Care Nurse Practitioner
SP028613
PA
Other
Enumeration date
10/27/2021
Last updated
12/09/2024
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