person
Samantha Lea Mccann, PA-C
Medical Physician Assistant in Providence, Rhode Island
NPI 1346698024

Samantha Lea Mccann is a Medical Physician Assistant based in Providence, RI and is specialized in Medical. Samantha Lea Mccann practices in Providence, RI and has the professional credentials of PA-C. The NPI Number for Samantha Lea Mccann is 1346698024 and holds a License No. PA00887 (Rhode Island).

The current practice location address for Samantha Lea Mccann is 593 Eddy St, Providence, RI and can be reached out via phone at 401-444-5943.

Location: 593 Eddy St, Providence, RI, 02903-4923
person
Provider Profile Details
NPI Number
1346698024
Provider Name
Samantha Lea Mccann
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
593 Eddy St, Providence, RI, 02903-4923
Phone Number
401-444-5943
Fax Number
Provider Enumeration Date
06/02/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05-0483739 01 RI TAX ID
institution
Provider Business Practice Location Address Details
Address
593 Eddy St
City
State
Zip
02903-4923
Phone Number
401-444-5943
Fax Number
person
Provider Business Mailing Address Details
Address
593 Eddy St
City
State
Zip
02903-4923
Phone Number
401-444-5943
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA00887 (Rhode Island)
Definition
Definition to come...
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