Sample, Denise Anne

Sample, Denise Anne is an individual health care provider with primary practice located at 834 Sheridan St , Port Townsend WA 98368. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Sample, Denise Anne can be contacted via phone (360) 385-2200.

Contact Information

Primary practice address
834 Sheridan St Port Townsend WA 98368
Phone: (360) 385-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5005063 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5005063 North Carolina

Profile Details

NPI number 1083919898
LBN Legal business name Sample, Denise Anne
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2011
Last updated May 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083919898 NPPES
North Carolina MEDICAID 7005925

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