Individual
SAMANTHA GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1624 S 19TH ST, PHILADELPHIA, PA 19145-1439
(518) 321-0102
Mailing address
1624 S 19TH ST, PHILADELPHIA, PA 19145-1439
(518) 321-0102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
026.0147524
VT
163W00000X
Registered Nurse
836013-01
NY
163W00000X
Registered Nurse
RN2358903
MA
163W00000X
Registered Nurse
Primary
RN716430
PA
Other
Enumeration date
03/19/2022
Last updated
03/19/2022
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