Individual
MRS. SAMARA ALEXIS GLAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
5512 NE 109TH CT STE I, VANCOUVER, WA 98662-6175
(360) 200-5273
Mailing address
5512 NE 109TH CT STE I, VANCOUVER, WA 98662-6175
(360) 200-5273
(833) 593-8274
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61403677
WA
Other
Enumeration date
11/21/2022
Last updated
02/21/2023
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