Samaras, Athena Theodora

Samaras, Athena Theodora is an individual health care provider with primary practice located at 1046 E Wendover Ave , Greensboro NC 27405-6712. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Samaras, Athena Theodora can be contacted via phone (336) 272-1050.

Contact Information

Primary practice address
1046 E Wendover Ave Greensboro NC 27405-6712
Phone: (336) 272-1050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 5008790 North Carolina

Profile Details

NPI number 1881148542
LBN Legal business name Samaras, Athena Theodora
Credentials PPCNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2016
Last updated Aug 11th, 2016 - about 10 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 1881148542 NPPES
North Carolina Other 5008790 NC APPROVAL TO PRACTICE

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