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Samantha Jo Prendergast, FNP-BC
Family Nurse Practitioner in Utica, New York
NPI 1124689963

Samantha Jo Prendergast is a Family Nurse Practitioner based in Utica, NY and is specialized in Family. Samantha Jo Prendergast practices in Utica, NY and has the professional credentials of FNP-BC. The NPI Number for Samantha Jo Prendergast is 1124689963 and holds a License No. 344571 (New York).

The current practice location address for Samantha Jo Prendergast is 1656 Champlin Ave Ste 406, Utica, NY and can be reached out via phone at 315-269-9443.

Location: 1656 Champlin Ave Ste 406, Utica, NY, 13501-2708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124689963
Provider Name
Samantha Jo Prendergast
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1656 Champlin Ave Ste 406, Utica, NY, 13501-2708
Phone Number
315-269-9443
Fax Number
Provider Enumeration Date
06/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1656 Champlin Ave Ste 406
City
Utica
State
New York
Zip
13502-4830
Phone Number
315-269-9443
Fax Number
person
Provider Business Mailing Address Details
Address
1656 Champlin Ave Ste 406
City
Utica
State
New York
Zip
13502-4830
Phone Number
315-269-9443
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
344571 (New York)
Definition
Definition to come...
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