Individual
SAMANTHA CRISWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 NICHOLASVILLE RD, LEXINGTON, KY 40503-1431
(859) 260-6100
Mailing address
4218 RESERVE RD APT 304, LEXINGTON, KY 40514-4069
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4031568
KY
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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