Samuel R Badger, CRNA
Nurse Anesthetist, Certified Registered in Lebanon, PA. Individual provider (NPI-1).
NPI number1710176003
StatusActive
Last updated in NPPESAug 28, 2025
Details
- NPI
- 1710176003
- Entity type
- Individual (NPI-1)
- Name
- Samuel R Badger
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2007
- Certification date
- Aug 28, 2025
- Last updated
- Aug 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN631706 | PA | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | 229385 | NC | |
| 367500000X | Nurse Anesthetist, Certified Registered | R161411 | MD |
Practice location
252 S 4th StLebanon, PA 17042-6111
Phone 717-270-7500 · Fax 717-228-1642
Mailing address
601 Memory LnYork, PA 17402-2231
Phone 717-851-1405
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All 33 Certified Registered Nurse Anesthetist providers in Lebanon · All 2,114 providers in Lebanon
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