Individual
SAMANTHA JEWELL KNOBLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
11154
CT
363LN0000X
Neonatal Nurse Practitioner
Primary
11154
CT
363LN0005X
Critical Care Neonatal Nurse Practitioner
11154
CT
Other
Enumeration date
08/15/2022
Last updated
08/24/2023
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