Anderson, Samantha Beth

Anderson, Samantha Beth is an individual health care provider with primary practice located at 1205 Mclain St , Newport AR 72112-3533. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Anderson, Samantha Beth can be contacted via phone (870) 523-8911.

Contact Information

Primary practice address
1205 Mclain St Newport AR 72112-3533
Phone: (870) 523-8911
Fax: (870) 512-3455
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 216639 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X S002305 Arkansas

Profile Details

NPI number 1336686708
LBN Legal business name Anderson, Samantha Beth
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2017
Last updated Aug 16th, 2021 - about 3 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 1336686708 NPPES
Arkansas MEDICAID 218616758

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