Individual
SAMANTHA RAE LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
PO BOX 423, BOLT, WV 25817-0423
(304) 673-1986
Mailing address
PO BOX 423, BOLT, WV 25817-0423
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
124301
WV
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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