Individual
SAMANTHA PAYTON RASCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1720 SPRING HILL AVE STE 101, MOBILE, AL 36604-1417
(251) 607-9797
Mailing address
6701 AIRPORT BLVD STE D330, MOBILE, AL 36608-6758
(251) 607-9797
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11150603
AL
363LF0000X
Family Nurse Practitioner
F12191078
AL
Other
Enumeration date
01/10/2020
Last updated
09/20/2024
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