MRS. SAMANTHA NUCKOLS, PA-C
Physician Assistant
Active
Individual
NPI: 1316353121
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 2017044296 (MO) |
Frequently Asked Questions
NPI 1316353121 is the National Provider Identifier for MRS. SAMANTHA NUCKOLS, PA-C, a Physician Assistant provider located in Creve Coeur, MO. This NPI was enumerated on July 2, 2014.
MRS. SAMANTHA NUCKOLS, PA-C practices at 11445 OLIVE BLVD, Creve Coeur, MO 63141.
Quick Facts
- NPI
- 1316353121
- Type
- Individual
- Enumerated
- Jul 2, 2014
- Last Updated
- Sep 24, 2019
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