Individual provider · NPI-1

Samantha Blood, CNP

Nurse Practitioner · Enola, PA

NPI number1053781138
StatusActive
Last updated in NPPESJan 7, 2022

Details

NPI
1053781138
Entity type
Individual (NPI-1)
Name
Samantha Blood
Credential
CNP
Sex
Female
Sole proprietor
No
Enumeration date
Oct 1, 2015
Certification date
Jan 7, 2022
Last updated
Jan 7, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerSP015478PAYes
363LF0000X Nurse Practitioner, FamilyRN632842PA
363LF0000X Nurse Practitioner, FamilySP015478PA

Practice location

1824 Good Hope Rd
Enola, PA 17025-1233

Phone 717-988-9015 · Fax 717-221-5410

Mailing address

1824 Good Hope Rd
Enola, PA 17025-1233

Phone 717-988-9015 · Fax 717-221-5410

Other practice locations

1 Dunwoody Dr
Carlisle, PA 17015-9565

Phone 717-988-9015 · Fax 717-221-5410

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