Individual
MRS. SAMANTHA SUZANNE NEWCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4930 N 1ST AVE, TUCSON, AZ 85718-5615
(520) 577-3333
(520) 577-4685
Mailing address
PO BOX 36207, TUCSON, AZ 85740-6207
(520) 577-3333
(520) 577-4685
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP2199
AZ
363LP0200X
Pediatric Nurse Practitioner
Primary
AP2199
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232193
—
AZ
Enumeration date
02/28/2007
Last updated
07/01/2022
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