Individual
SAMANTHA ANN JOHNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
RN71057
NV
363L00000X
Nurse Practitioner
Primary
386709
NV
Other
Enumeration date
05/31/2019
Last updated
08/20/2025
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