Aiken, Samantha

Aiken, Samantha is an individual health care provider with primary practice located at 3396 N Futrall Dr , Fayetteville AR 72703-4057. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Aiken, Samantha can be contacted via phone (479) 582-1938.

Contact Information

Primary practice address
3396 N Futrall Dr Fayetteville AR 72703-4057
Phone: (479) 582-1938
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R63497 Arkansas

Profile Details

NPI number 1578545158
LBN Legal business name Aiken, Samantha
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Apr 27th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578545158 NPPES
Arkansas MEDICAID 150311701
Arkansas MEDICAID 200046670A

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