Individual
CAROL J SAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
730 SOM CENTER RD, SUITE 240, MAYFIELD VILLAGE, OH 44143-2350
(440) 720-3230
(216) 201-7205
Mailing address
730 SOM CENTER RD, SUITE 240, MAYFIELD VILLAGE, OH 44143-2350
(440) 720-3230
(216) 201-7205
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP4816
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2125819
—
OH
Enumeration date
07/17/2006
Last updated
02/01/2017
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