Individual
MRS. SAMANTHA MARIE CASNETTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1315 EAST BLVD STE 280, CHARLOTTE, NC 28203-5793
(704) 384-1866
(704) 384-1867
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
252619
NC
363L00000X
Nurse Practitioner
Primary
5010254
NC
Other
Enumeration date
12/12/2017
Last updated
06/11/2021
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