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Individual

SAMANTHA LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3186 SOUTH MARYLAND PARKWAY, LAS VEGAS, NV 89148
(913) 687-6334
Mailing address
6268 STARFLARE ST, LAS VEGAS, NV 89148
(913) 687-6334

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
835041
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
835041
NV

Other

Enumeration date
01/31/2021
Last updated
07/10/2025
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