Individual
MICHELLE MARIE SAMARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
6025 WALNUT GROVE RD STE 508, MEMPHIS, TN 38120-2125
(901) 767-5864
(901) 767-6591
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
30281
TN
Other
Enumeration date
09/16/2021
Last updated
09/27/2022
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