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Samantha Range, NP-C

Nurse Practitioner, Family in Canton, OH. Individual provider (NPI-1).

NPI number1982136487
StatusActive
Last updated in NPPESApr 3, 2017

Details

NPI
1982136487
Entity type
Individual (NPI-1)
Name
Samantha Range
Credential
NP-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 3, 2017
Last updated
Apr 3, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAPRN.CNP.020705OHYes

Practice location

4135 Tuscarawas St W
Canton, OH 44708-5463

Phone 330-546-0913 · Fax 330-546-0752

Mailing address

211 Edgefield Blvd
Marion, OH 43302-5801

Phone 740-914-4178 · Fax 740-386-2640

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