Individual
SAMANTHA MARIE MACINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2407 S LINDEN AVE, ALLIANCE, OH 44601-5156
(937) 304-2506
Mailing address
2407 S LINDEN AVE, ALLIANCE, OH 44601-5156
(937) 304-2506
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
441652
OH
163WP0808X
Psychiatric/Mental Health Registered Nurse
441652
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0031760
OH
Other
Enumeration date
09/04/2018
Last updated
12/02/2022
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