Individual
SAMANTHA WEIDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
596 E MILL ST, PORT ALLEGANY, PA 16743-9736
(814) 558-8566
Mailing address
596 E MILL ST, PORT ALLEGANY, PA 16743-9736
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
818117
NY
163WC0400X
Case Management Registered Nurse
648597
PA
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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