Individual
SAMANTHA JAMES WHITEHAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1500 RED RIVER ST, AUSTIN, TX 78701-1918
(512) 324-7065
Mailing address
100 ARIKARA ST, BUDA, TX 78610-9219
(512) 809-2985
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1009161
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1009161
TX
Other
Enumeration date
08/13/2020
Last updated
05/06/2021
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