Individual
MRS. SAMANTHA E AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
210 QUAIL RUN RD, SUGAR GROVE, VA 24375-3286
(276) 686-5334
Mailing address
PO BOX 249, YADKINVILLE, NC 27055-0249
(336) 679-4963
(336) 679-2549
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5010487
NC
363LP2300X
Primary Care Nurse Practitioner
0024175952
VA
Other
Enumeration date
03/13/2018
Last updated
05/09/2018
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