Individual
MRS. SAMANTHA ANNE EADS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
600 N EAGLESON AVE, BLOOMINGTON, IN 47405-3190
(812) 855-7514
(812) 856-8729
Mailing address
600 N EAGLESON AVE, BLOOMINGTON, IN 47405-3190
(812) 855-7514
(812) 856-8729
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
28244923A
IN
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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