Nuckols, Samantha Yates

Nuckols, Samantha Yates is an individual health care provider with primary practice located at 11445 Olive Blvd , Creve Coeur MO 63141-7108. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Nuckols, Samantha Yates can be contacted via phone (314) 428-9543.

Contact Information

Primary practice address
11445 Olive Blvd Creve Coeur MO 63141-7108
Phone: (314) 428-9543
Fax: (314) 428-9542
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110-004588 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2017044296 Missouri

Profile Details

NPI number 1316353121
LBN Legal business name Nuckols, Samantha Yates
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2014
Last updated Sep 24th, 2019 - 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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