Individual
SAMANTHA TRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(206) 145-9075
Mailing address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 515-6296
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00959000
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
RNP290879
AZ
Other
Enumeration date
11/04/2019
Last updated
01/09/2024
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