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Laurell Sample, CRNP
Acute Care Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1366108052

Laurell Sample is an Acute Care Nurse Practitioner based in Ambler, PA and is specialized in Acute Care. Laurell Sample practices in Philadelphia, PA and has the professional credentials of CRNP. The NPI Number for Laurell Sample is 1366108052 and holds a License No. SP024642 (Pennsylvania).

The current practice location address for Laurell Sample is 3401 N Broad St, Philadelphia, PA and can be reached out via phone at 215-707-8306.

Location: 3401 N Broad St, Philadelphia, PA, 19002-2744
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Provider Profile Details
NPI Number
1366108052
Provider Name
Laurell Sample
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
3401 N Broad St, Philadelphia, PA, 19002-2744
Phone Number
215-707-8306
Fax Number
Provider Enumeration Date
11/17/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SP024642 01 PA CRNP LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
3401 N Broad St
City
State
Zip
19140-5189
Phone Number
215-707-8306
Fax Number
person
Provider Business Mailing Address Details
Address
3401 N Broad St
City
State
Zip
19140-5189
Phone Number
215-707-8306
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
SP024642 (Pennsylvania)
Definition
Definition to come...
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