Samantha Lea McCann, PA-C
Physician Assistant, Medical in Providence, RI. Individual provider (NPI-1).
NPI number1346698024
StatusActive
Last updated in NPPESOct 27, 2022
Details
- NPI
- 1346698024
- Entity type
- Individual (NPI-1)
- Name
- Samantha Lea McCann
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2016
- Certification date
- Oct 27, 2022
- Last updated
- Oct 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA00887 | RI | Yes |
Practice location
593 Eddy StProvidence, RI 02903-4923
Phone 401-444-5943
Mailing address
593 Eddy StProvidence, RI 02903-4923
Phone 401-444-5943
Other practice locations
850 Aquidneck Ave
Middletown, RI 02842-7280
Middletown, RI 02842-7280
Phone 401-846-0055 · Fax 401-842-0963
100 Dudley St Fl 3
Providence, RI 02905
Providence, RI 02905
Phone 401-453-3795 · Fax 401-453-7748
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