Individual provider · Type 1 NPI
Samantha Criswell
Primary Care Nurse Practitioner · Lexington, KY
NPI number
1417764002
Active
Practice location
1740 Nicholasville Rd
Lexington, KY 40503-1431
Mailing address
4218 Reserve Rd Apt 304
Lexington, KY 40514-4069
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 4031568 (KY) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1417764002
Samantha Criswell's National Provider Identifier is 1417764002, issued on Dec 17, 2024. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Lexington, KY. The record was last updated on Dec 17, 2024.