Individual
AMY GREEN SAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2412 ODENDRON CT, HENRICO, VA 23233-6618
(804) 651-5145
Mailing address
2412 ODENDRON CT, HENRICO, VA 23233-6618
(804) 651-5145
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001169455
VA
Other
Enumeration date
10/26/2024
Last updated
10/26/2024
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