Samson, Mary Andelle
Samson, Mary Andelle is an individual health care provider with primary practice located at 21 Grand St , Hartford CT 06106-1541. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Samson, Mary Andelle can be contacted via phone (860) 550-7500.Contact Information
Primary practice address
21 Grand St
Hartford CT 06106-1541
Phone: (860) 550-7500
Fax: (860) 241-0890
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 3516 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 3516 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R173837 | Maryland |
Profile Details
NPI number | 1801001128 |
---|---|
LBN Legal business name | Samson, Mary Andelle |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 11th, 2007 |
Last updated | Sep 29th, 2022 - about 2 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 | 1801001128 | NPPES |
Connecticut | MEDICAID | 013358200 |
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