Individual
SAMANTHA L DEMARCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2422 S BROAD ST FL 2, PHILADELPHIA, PA 19145-4418
(215) 503-8455
Mailing address
2422 S BROAD ST FL 2, PHILADELPHIA, PA 19145-4418
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP023671
PA
Other
Enumeration date
05/21/2021
Last updated
12/22/2025
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