Individual
SAMPSON MBU EKWET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5023
(804) 828-2207
(804) 828-8300
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
0001273755
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024189348
VA
Other
Enumeration date
07/07/2023
Last updated
04/19/2024
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