Individual
SAMANTHA SOLLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
309 N FIRST AVE, EVANSVILLE, IN 47710-1218
(812) 450-4066
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 450-6815
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71012893A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71012893A
STATE LICENSE
IN
Enumeration date
08/12/2022
Last updated
09/13/2022
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