Samantha Travierso
Physician Assistant in Albuquerque, NM. Individual provider (NPI-1).
NPI number1003455437
StatusActive
Last updated in NPPESNov 19, 2025
Details
- NPI
- 1003455437
- Entity type
- Individual (NPI-1)
- Name
- Samantha Travierso
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 2, 2020
- Certification date
- Nov 19, 2025
- Last updated
- Nov 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
1501 San Pedro Dr SeAlbuquerque, NM 87108-5153
Phone 505-265-1711
Mailing address
1501 San Pedro Dr SeAlbuquerque, NM 87108-5153
Phone 505-265-1711
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All 501 Physician Assistant providers in Albuquerque · All 29,333 providers in Albuquerque
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