Individual
SAMANTHA BETH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1205 MCLAIN ST, NEWPORT, AR 72112-3533
(870) 523-8911
(870) 512-3455
Mailing address
1205 MCLAIN ST, NEWPORT, AR 72112-3533
(870) 523-8911
(870) 512-3455
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
216639
AR
364SA2200X
Adult Health Clinical Nurse Specialist
S002305
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218616758
—
AR
Enumeration date
01/24/2017
Last updated
08/16/2021
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