Individual
SAMANTHA BIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN649821
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
23736
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126349
NBCRNA
PA
05
—
AN3101
—
SC
Enumeration date
12/12/2019
Last updated
02/22/2022
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