Larsen, Samantha

Larsen, Samantha is an individual health care provider with primary practice located at 12311 Perry Hwy , Wexford PA 15090-8344. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Larsen, Samantha can be contacted via phone (878) 332-4387.

Contact Information

Primary practice address
12311 Perry Hwy Wexford PA 15090-8344
Phone: (878) 332-4387
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X MA061424 Pennsylvania

Profile Details

NPI number 1538791728
LBN Legal business name Larsen, Samantha
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2020
Last updated Dec 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538791728 NPPES
Other 14622551 CAQH

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