Samson, Meredith P

Samson, Meredith P is an individual health care provider with primary practice located at 1919 E Thomas Rd , Phoenix AZ 85016-7710. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Samson, Meredith P can be contacted via phone (602) 933-1784.

Contact Information

Primary practice address
1919 E Thomas Rd Phoenix AZ 85016-7710
Phone: (602) 933-1784
Fax: (602) 933-4298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP3917 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X RN70014/AP0231 Arizona

Profile Details

NPI number 1093025777
LBN Legal business name Samson, Meredith P
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2010
Last updated Jun 21st, 2021 - about 5 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 1093025777 NPPES
Arizona MEDICAID 471061

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