Matteucci, Samantha

Matteucci, Samantha is an individual health care provider with primary practice located at 504 Elm St Ne , Albuquerque NM 87102-2512. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Matteucci, Samantha can be contacted via phone (505) 841-1000.

Contact Information

Primary practice address
504 Elm St Ne Albuquerque NM 87102-2512
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 64551 New Mexico

Profile Details

NPI number 1285207100
LBN Legal business name Matteucci, Samantha
Credentials ACNPC-AG
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2021
Last updated Oct 6th, 2021 - about 5 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 1285207100 NPPES
New Mexico Other 64551 APRN-CNP LICENSE

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