Individual
SAMANTHA AULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
930 BETHESDA DR UNIT 4, ZANESVILLE, OH 43701-0815
(740) 569-5737
(740) 569-5716
Mailing address
525 ERIC DR, NEWARK, OH 43055-8064
(740) 814-7163
(740) 281-1202
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.021500
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2846675
—
OH
Enumeration date
01/28/2014
Last updated
01/28/2021
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