Individual
SAMANTHA ALYSSA PELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 545-9520
(860) 545-9545
Mailing address
P.O. BOX 415933, HARTFORD HOSPITAL PROFESSIONAL SERVICES, BOSTON, MA 02241-5933
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
004957
CT
363LF0000X
Family Nurse Practitioner
004957
CT
363LF0000X
Family Nurse Practitioner
337171
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004049573
—
CT
Enumeration date
02/15/2012
Last updated
09/09/2022
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