Individual provider · Type 1 NPI

Samantha Doran, NURSE PRACTITIONER

Pediatric Emergency Medicine (Pediatrics) Physician · St. Louis, MO

NPI number 1689570699 Active

Practice location

1465 S Grand Blvd
St. Louis, MO 63104-1003

Specialties and licenses

TaxonomyCodeLicense
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204X2026027468 (MO)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

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About NPI 1689570699

Samantha Doran, NURSE PRACTITIONER's National Provider Identifier is 1689570699, issued on Oct 16, 2026. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in St. Louis, MO. The record was last updated on Oct 16, 2026.