Individual
SAMANTHA NIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
247 N FIREWEED ST, SOLDOTNA, AK 99669-7540
(907) 262-8597
Mailing address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
(907) 714-4038
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
117543
AK
363L00000X
Nurse Practitioner
Primary
225625
AK
Other
Enumeration date
06/11/2024
Last updated
08/26/2024
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