Individual
MRS. SAMANTHA YATES NUCKOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11445 OLIVE BLVD, CREVE COEUR, MO 63141-7108
(314) 428-9543
(314) 428-9542
Mailing address
115 JAMESON WAY, SEVEN FIELDS, PA 16046-4325
(757) 406-9172
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110-004588
VA
363A00000X
Physician Assistant
Primary
2017044296
MO
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/02/2014
Last updated
09/24/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us