Crusenberry, Samantha Jo

Crusenberry, Samantha Jo is an individual health care provider with primary practice located at 650 S Walker St , Bloomington IN 47403-2158. She recently has only one registered license in Nursing Service Providers / Women's Health Care, Ambulatory, which is considered as her primary health care specialty. Crusenberry, Samantha Jo can be contacted via phone (812) 334-0698.

Contact Information

Primary practice address
650 S Walker St Bloomington IN 47403-2158
Phone: (812) 334-0698
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Women's Health Care, Ambulatory 163WW0101X 28222223A Indiana

Profile Details

NPI number 1538767041
LBN Legal business name Crusenberry, Samantha Jo
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2020
Last updated Oct 16th, 2020 - about 4 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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