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Individual

SAMANTHA SANTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
514 IDAHO DR, MEDICINE BOW, WY 82329-5017
(307) 379-2222
(307) 379-2222
Mailing address
514 IDAHO DR, MEDICINE BOW, WY 82329-5017
(307) 379-2222

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
55381
WY
363LF0000X
Family Nurse Practitioner
F352265
NY

Other

Enumeration date
09/25/2023
Last updated
05/27/2025
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