Organization
HAPPY SKIN PLLC
Active
Other names
Focused Pediatric Dermatology, Happy Skin Pediatric Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA BAE CASSELMAN DNP (PNP, OWNER)
(602) 499-2362
Entity
Organization
Contact information
Practice address
3201 W PEORIA AVE STE A105, PHOENIX, AZ 85029-4609
(602) 837-3376
(949) 955-4657
Mailing address
14030 N 20TH ST, PHOENIX, AZ 85022-4678
(602) 499-2362
Taxonomy
Speciality
Code
Description
License number
State
207NP0225X
Pediatric Dermatology Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3476860446
—
AZ
Enumeration date
01/17/2022
Last updated
01/17/2022
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