Individual
SAMANTHA M POPOVEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7630 SOUTHERN BLVD, YOUNGSTOWN, OH 44512-5633
(330) 729-8000
(330) 729-8084
Mailing address
555 GARDENRIDGE CT, YOUNGSTOWN, OH 44512-5875
(330) 502-2067
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.382463
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.019751
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0315011
—
OH
Enumeration date
06/20/2018
Last updated
04/01/2025
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