Individual
SAMANTHA AIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3396 N FUTRALL DR, FAYETTEVILLE, AR 72703-4057
(479) 582-1938
Mailing address
3396 N FUTRALL DR, FAYETTEVILLE, AR 72703-4057
(479) 582-1938
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R63497
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150311701
—
AR
05
—
200046670A
—
OK
Enumeration date
11/18/2005
Last updated
04/27/2009
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