Individual
SAMANTHA PAIGE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
900 VIRGINIA ST E STE 400, CHARLESTON, WV 25301-2835
(681) 313-4759
(844) 800-3954
Mailing address
25 ROSE LN, KERMIT, WV 25674-7328
(304) 601-5775
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
38624
WV
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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