Individual
NANCY S SAMPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
1224 EDISON ST, STE. A, BRUSH, CO 80723-2436
(970) 842-5010
(970) 842-4120
Mailing address
1224 EDISON ST, STE. A, BRUSH, CO 80723-2436
(970) 842-5010
(970) 842-4120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
CORN63639
CO
Other
Enumeration date
03/21/2006
Last updated
07/08/2007
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