Herman, Samantha Dawn
Herman, Samantha Dawn is an individual health care provider with primary practice located at 27 Hyland Dr , Lake Luzerne NY 12846-3923. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Herman, Samantha Dawn can be contacted via phone (518) 824-2580.Contact Information
Primary practice address
27 Hyland Dr
Lake Luzerne NY 12846-3923
Phone: (518) 824-2580
Fax: (518) 824-2579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | F383312 | New York |
Profile Details
| NPI number | 1508533951 |
|---|---|
| LBN Legal business name | Herman, Samantha Dawn |
| Credentials | MSN, APN, CPNP-PC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2021 |
| Last updated | Oct 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508533951 | NPPES |
| New York | MEDICAID | 06777444 |
Popular Providers
-
Sanford, Cynthia Neoma
101 Oklahoma Ave , Mcalester OK 74501-7520 -
Metcalf, Sharon C
555 S Floyd St , Louisville KY 40202-3801 -
Yonkers, Stephanie
318 Ruhle Rd. S. , Ballston Lake NY 12019 -
Walker, Judith Ann
1702 N Alamo St # 220, San Antonio TX 78215-1201 -
Famularo, Cristin Ashley
80 Prospect Ave , Woodcliff Lake NJ 07677-8034 -
O'Malley, Olivia
6 Glen Dr , Lake Ronkonkoma NY 11779-1506 -
Morr, Erinn L
21 Bowling Green Pkwy 202, Lake Hopatcong NJ 07849-3200 -
Backus, Kathryn
2033 Meadowview Ln Ste 200, Kingsport TN 37660-7569