Individual
MRS. SAMANTHA LYN CLARKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4403 HARRISON BLVD STE 3875, OGDEN, UT 84403-3332
(801) 387-7950
Mailing address
4403 HARRISON BLVD STE 3875, OGDEN, UT 84403-3332
(801) 387-7950
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8506342-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
UT
Enumeration date
06/27/2018
Last updated
03/08/2022
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