Moore, Samantha Germaine
Moore, Samantha Germaine is an individual health care provider with primary practice located at 1300 W Terrell Ave Ste K230 , Fort Worth TX 76104-3104. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Moore, Samantha Germaine can be contacted via phone (817) 250-4906.Contact Information
Primary practice address
1300 W Terrell Ave Ste K230
Fort Worth TX 76104-3104
Phone: (817) 250-4906
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | AP132837 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP132837 | Texas |
Profile Details
| NPI number | 1760927040 |
|---|---|
| LBN Legal business name | Moore, Samantha Germaine |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2016 |
| Last updated | May 6th, 2022 - about 4 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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