Individual
SAMANTHA ROACH-MERTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNAP, CRNA
Contact information
Practice address
405 W JACKSON ST, CARBONDALE, IL 62901-1462
(618) 549-0721
Mailing address
317 W 20TH ST, HUNTINGBURG, IN 47542-9180
(812) 639-1039
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
99999
IL
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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