Individual
SAMANTHA SCADUTO HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1164421
MA
363A00000X
Physician Assistant
Primary
AMD-1354
HI
363AM0700X
Medical Physician Assistant
PA01498
RI
Other
Enumeration date
05/16/2021
Last updated
10/27/2025
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