Individual
SAMANTHA ANNE KOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
475 E. BRUNER AVE, STE 130, HENDERSON, NV 89044
(702) 763-2263
(702) 723-3765
Mailing address
475 E. BRUNER AVE, STE 130, HENDERSON, NV 89044
(702) 763-2263
(702) 723-3765
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
PA0794
NV
208000000X
Pediatrics Physician
Primary
PA3162
NV
363AM0700X
Medical Physician Assistant
—
NV
Other
Enumeration date
01/09/2025
Last updated
08/03/2026
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