Newcom, Samantha Suzanne
Newcom, Samantha Suzanne is an individual health care provider with primary practice located at 4930 N 1St Ave , Tucson AZ 85718-5615. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Newcom, Samantha Suzanne can be contacted via phone (520) 577-3333.Contact Information
Primary practice address
4930 N 1St Ave
Tucson AZ 85718-5615
Phone: (520) 577-3333
Fax: (520) 577-4685
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP2199 | Arizona |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP2199 | Arizona |
Profile Details
NPI number | 1780711226 |
---|---|
LBN Legal business name | Newcom, Samantha Suzanne |
Credentials | FNP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 28th, 2007 |
Last updated | Jul 1st, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780711226 | NPPES |
Arizona | MEDICAID | 232193 |
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