Individual
SAMANTHA ANTICUAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(410) 772-6500
Mailing address
2927 CORINTHIA DR, ROCHESTER HILLS, MI 48309-4332
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001308278
VA
163W00000X
Registered Nurse
4704311135
MI
163W00000X
Registered Nurse
RN200005447
DC
363LF0000X
Family Nurse Practitioner
0024183523
VA
363LF0000X
Family Nurse Practitioner
4704311135
MI
363LF0000X
Family Nurse Practitioner
Primary
NP200005447
DC
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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