Individual
SAMANTHA ROBYN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(608) 695-0168
Mailing address
2462 N ALESUND WAY, LEHI, UT 84043-5449
(608) 695-0168
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN690124
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
12727407-4406
UT
367500000X
Certified Registered Nurse Anesthetist
317464
AZ
Other
Enumeration date
12/16/2019
Last updated
03/26/2025
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