Individual
SAMANTHA NICHOLE FONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11750 W 2ND PL STE 160, LAKEWOOD, CO 80228-1724
(303) 430-2700
Mailing address
11750 W 2ND PL STE 160, LAKEWOOD, CO 80228-1724
(303) 430-2700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428161001
—
TX
01
—
428161002
OTHER CSHCN
TX
01
—
8QA548
OTHER BCBS
TX
Enumeration date
12/01/2020
Last updated
11/07/2025
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