Individual
SAMANTHA HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNA
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-5000
Mailing address
318 JACKSON ST, JAMESTOWN, NC 27282-9200
(336) 403-0261
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
247619
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
144537
NC
Other
Enumeration date
02/14/2023
Last updated
09/06/2023
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