Farrell, Samantha Nicole

Farrell, Samantha Nicole is an individual health care provider with primary practice located at 3333 W Kennedy Blvd Ste 106 , Tampa FL 33609-2907. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Farrell, Samantha Nicole can be contacted via phone (813) 662-5919.

Contact Information

Primary practice address
3333 W Kennedy Blvd Ste 106 Tampa FL 33609-2907
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11029036 Florida

Profile Details

NPI number 1992585970
LBN Legal business name Farrell, Samantha Nicole
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2023
Last updated Oct 5th, 2023 - 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.

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