Baca, Samantha

Baca, Samantha is an individual health care provider with primary practice located at 1821 Carlisle Blvd Ne , Albuquerque NM 87110-4905. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Baca, Samantha can be contacted via phone (505) 255-1228.

Contact Information

Primary practice address
1821 Carlisle Blvd Ne Albuquerque NM 87110-4905
Phone: (505) 255-1228
Fax: (505) 255-1394
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2014-0073 New Mexico

Profile Details

NPI number 1659504728
LBN Legal business name Baca, Samantha
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2009
Last updated Sep 22nd, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659504728 NPPES
New Mexico MEDICAID 77330811

Popular Providers