Individual
SAMANTHA L DUGAN
Active
Individual
SAMANTHA L DUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28266186A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001542312
ANTHEM PTAN
IN
01
—
000001602054
ANTHEM PTAN
IN
05
—
300050295
—
IN
Enumeration date
05/19/2021
Last updated
12/03/2024
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