Individual
MISS SAMANTHA NICOLE HAMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
127 WALNUT ST, COUPON, PA 16629-8418
(814) 312-7120
Mailing address
PO BOX 37, GALLITZIN, PA 16641-0037
(814) 312-7120
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AG09200020
PA
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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