Individual
SAMANTHA BIXBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1351 WHALLEY AVE, NEW HAVEN, CT 06515-1149
(203) 889-2676
Mailing address
1351 WHALLEY AVE, NEW HAVEN, CT 06515-1149
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13023
CT
Other
Enumeration date
03/27/2024
Last updated
03/27/2025
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