Individual provider · Type 1 NPI

Samantha Ann Olsenevich, PA-C

Medical Physician Assistant · Farmington, CT

NPI number 1407474430 Active

Practice location

263 Farmington Ave
Farmington, CT 06030-8085

Fax (860) 679-1494

Other practice locations

  • 85 Seymour St, Hartford, CT 06106-5501 · (608) 972-4183
  • 6 Devine St, North Haven, CT 06473-2195 · (203) 200-4422

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X4829 (CT)
Physician Assistant 363A00000XNone listed

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About NPI 1407474430

Samantha Ann Olsenevich, PA-C's National Provider Identifier is 1407474430, issued on Jul 7, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Farmington, CT. The record was last updated on Feb 6, 2026.