Pelow, Samantha Alyssa

Pelow, Samantha Alyssa is an individual health care provider with primary practice located at 282 Washington St , Hartford CT 06106-3322. 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 / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Pelow, Samantha Alyssa can be contacted via phone (860) 545-9520.

Contact Information

Primary practice address
282 Washington St Hartford CT 06106-3322
Phone: (860) 545-9520
Fax: (860) 545-9545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 337171 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 004957 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 004957 Connecticut

Profile Details

NPI number 1215200654
LBN Legal business name Pelow, Samantha Alyssa
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2012
Last updated Sep 9th, 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 1215200654 NPPES
Connecticut MEDICAID 004049573

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