Individual
SAMANTHA ANNETTE FIKRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4350 SHAWNEE MISSION PKWY STE 1200, FAIRWAY, KS 66205-2528
(913) 588-0555
(913) 945-5035
Mailing address
888 W BONNEVILLE AVE, LAS VEGAS, NV 89106-0100
(702) 483-6011
(702) 483-6028
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-78303-102
KS
363LF0000X
Family Nurse Practitioner
TAPN700890
NV
Other
Enumeration date
03/01/2013
Last updated
06/03/2019
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