Individual
MRS. SAMANTHA KAYE RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1512 W MAIN ST, RUSSELLVILLE, AR 72801-2820
(479) 462-5858
Mailing address
1512 W MAIN ST, RUSSELLVILLE, AR 72801-2820
(479) 219-4673
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
216573
AR
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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