Newcom, Samantha Suzanne

Newcom, Samantha Suzanne is an individual health care provider with primary practice located at 4930 N 1St Ave , Tucson AZ 85718-5615. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Newcom, Samantha Suzanne can be contacted via phone (520) 577-3333.

Contact Information

Primary practice address
4930 N 1St Ave Tucson AZ 85718-5615
Phone: (520) 577-3333
Fax: (520) 577-4685
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP2199 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP2199 Arizona

Profile Details

NPI number 1780711226
LBN Legal business name Newcom, Samantha Suzanne
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Jul 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780711226 NPPES
Arizona MEDICAID 232193

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