Individual
MRS. SAMANTHA W. BOELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
10155 YORK RD, STE. 200, COCKEYSVILLE, MD 21030
(410) 628-2026
Mailing address
10155 YORK RD., STE. 200, COCKEYSVILLE, MD 21030
(410) 628-2026
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R145265
MD
Other
Enumeration date
10/01/2009
Last updated
10/16/2023
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