Individual
MR. PETER SAMOEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
810 E WALNUT ST, INDEPENDENCE, MO 64050-4025
(816) 621-5821
Mailing address
4010 S JACKSON DR APT 205, INDEPENDENCE, MO 64057-1997
(816) 621-5821
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2020042260
MO
363LG0600X
Gerontology Nurse Practitioner
Primary
2020042260
MO
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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