Individual
HEATHER MARIE SAMANIEGO COGSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1690 FORT CAMPBELL BLVD, CLARKSVILLE, TN 37042-7531
(931) 648-4838
Mailing address
1690 FORT CAMPBELL BLVD, CLARKSVILLE, TN 37042-7531
(609) 634-7748
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
SP021735
PA
Other
Enumeration date
05/04/2021
Last updated
01/06/2025
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