Martin, Samantha

Martin, Samantha is an individual health care provider with primary practice located at Address: 530 Ne Glen Oak Ave , Peoria IL 61637-0001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Martin, Samantha can be contacted via phone (309) 655-2000.

Contact Information

Primary practice address
Address: 530 Ne Glen Oak Ave Peoria IL 61637-0001
Phone: (309) 655-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 209022870 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209022870 Illinois

Profile Details

NPI number 1396314308
LBN Legal business name Martin, Samantha
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2021
Last updated Jun 23rd, 2021 - 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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