Individual
SAMANTHA CHANEL BARBOSA POTENCIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
655 SIERRA ROSE DR, RENO, NV 89511-2060
(775) 600-4717
(775) 829-3757
Mailing address
6036 BARRETT CT, SPARKS, NV 89436-4400
(926) 672-0884
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN89299
NV
363L00000X
Nurse Practitioner
Primary
857646
NV
363LA2200X
Adult Health Nurse Practitioner
857646
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
857646
NV
Other
Enumeration date
07/14/2022
Last updated
04/16/2026
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