Individual
SAMANTHA SUH MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
511 N 12TH ST E, RIVERTON, WY 82501-3809
(307) 463-4488
Mailing address
7108 BELLS MILL RD, BETHESDA, MD 20817-1204
(303) 818-2986
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
251903
AZ
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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