Individual
DEBORAH J SAMPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
122 COLUMBUS RD, FREDERICKTOWN, OH 43019-1266
(740) 694-1261
(740) 694-7145
Mailing address
122 COLUMBUS RD, FREDERICKTOWN, OH 43019-1266
(740) 694-1261
(740) 694-7145
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.12739
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063151
—
OH
Enumeration date
12/19/2011
Last updated
03/18/2021
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