Individual
MRS. SAMANTHA ANN STAVINOHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, NNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
703269
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
AP118901
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/10/2009
Last updated
06/13/2017
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