Individual provider · Type 1 NPI

Samantha Evanko

Student in an Organized Health Care Education/Training Program · Perry Point, MD

NPI number 1164659744 Active

Practice location

Avenue H-Building 25, Perry Point Va Medical Center
Perry Point, MD 21902

Fax (410) 642-1118

Mailing address

33 N Whitfield St
Nazareth, PA 18064-1537

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1164659744

Samantha Evanko's National Provider Identifier is 1164659744, issued on Jun 22, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Perry Point, MD. The record was last updated on Jun 22, 2009.