Individual
MS. SAMANTHA DANNETTE MCCLUSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
2754 COMPASS DR STE 377, GRAND JUNCTION, CO 81506-8723
(970) 314-3080
Mailing address
1372 17 RD, FRUITA, CO 81521-9214
(970) 314-3080
(970) 257-2401
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
96665
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500003975
RAILROAD
CO
Enumeration date
05/24/2006
Last updated
04/22/2021
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