Individual
SAMANTHA NICOLE ASHCRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
501 W SAINT MARY BLVD, SUITE 110, LAFAYETTE, LA 70506-4600
(337) 233-8887
Mailing address
201 SETTLERS TRACE BLVD, APT. # 3311, LAFAYETTE, LA 70508-6781
(985) 320-7801
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
200719
LA
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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