Herman, Samantha Dawn
Herman, Samantha Dawn is an individual health care provider with primary practice located at 27 Hyland Dr , Lake Luzerne NY 12846-3923. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Herman, Samantha Dawn can be contacted via phone (518) 824-2580.Contact Information
Primary practice address
27 Hyland Dr
Lake Luzerne NY 12846-3923
Phone: (518) 824-2580
Fax: (518) 824-2579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | F383312 | New York |
Profile Details
| NPI number | 1508533951 |
|---|---|
| LBN Legal business name | Herman, Samantha Dawn |
| Credentials | MSN, APN, CPNP-PC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2021 |
| Last updated | Oct 25th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508533951 | NPPES |
| New York | MEDICAID | 06777444 |
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