Mayo, Samantha Grace

Mayo, Samantha Grace is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse, Nursing Service Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Mayo, Samantha Grace can be contacted via phone (508) 334-3271.

Contact Information

Primary practice address
55 Lake Ave N Worcester MA 01655-0002
Phone: (508) 334-3271
Fax: (508) 856-5911
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN2298184 Massachusetts
Nursing Service Providers / Registered Nurse 163W00000X 068205-21 New Hampshire
Nursing Service Providers / Critical Care Medicine 163WC0200X RN2298184 Massachusetts

Profile Details

NPI number 1538728704
LBN Legal business name Mayo, Samantha Grace
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2019
Last updated Aug 27th, 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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