Crouch, Samantha Corral

Crouch, Samantha Corral is an individual health care provider with primary practice located at 4301 W Markham St # 518 5Th Floor Unit E5, Little Rock AR 72205-7101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Crouch, Samantha Corral can be contacted via phone (501) 526-0564.

Contact Information

Primary practice address
4301 W Markham St # 518 5Th Floor Unit E5 Little Rock AR 72205-7101
Phone: (501) 526-0564
Fax: (501) 526-0599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X M002133 Arkansas

Profile Details

NPI number 1780108456
LBN Legal business name Crouch, Samantha Corral
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2017
Last updated Mar 14th, 2022 - 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 1780108456 NPPES
Arkansas Other M002133 ARKANSAS STATE BOARD OF NURSING
Arkansas Other R104356 ARKANSAS STATE BOARD OF NURSING

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