Duncan, Samantha
Duncan, Samantha is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. 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 / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Duncan, Samantha can be contacted via phone (774) 441-6700.Contact Information
Primary practice address
55 Lake Ave N
Worcester MA 01655-0002
Phone: (774) 441-6700
Fax: (774) 443-7399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN2264048 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN2264048 | Massachusetts |
Profile Details
| NPI number | 1225580871 |
|---|---|
| LBN Legal business name | Duncan, Samantha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2016 |
| Last updated | Apr 17th, 2026 - about 6 months 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 | 1225580871 | NPPES |
| Massachusetts | MEDICAID | 110120253A |
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