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Individual

BRIDGET SAMANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
380 ENCINAL ST STE 200, SANTA CRUZ, CA 95060-2178
(831) 469-1700
(831) 425-1905
Mailing address
380 ENCINAL ST STE 200, SANTA CRUZ, CA 95060-2178
(831) 469-1700
(831) 425-1905

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95024388
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
730025
REGISTERED NURSE LICENSE
CA
01
95024388
NURSE PRACTITIONER LICENSE
CA
Enumeration date
04/07/2023
Last updated
04/07/2023
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