Individual
SAMANTHA MARIE TANTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3 WALNUT ST STE 100, LEMOYNE, PA 17043-1168
(717) 761-4141
Mailing address
3 WALNUT ST STE 100, LEMOYNE, PA 17043-1168
(717) 761-4141
(717) 761-1456
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP021058
PA
Other
Enumeration date
10/29/2019
Last updated
06/06/2022
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