Individual provider · Type 1 NPI

Samantha Waters, PA-C

Surgical Physician Assistant · Redding, CA

NPI number 1902355753 Active

Practice location

1255 Liberty St
Redding, CA 96001-0814

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA178413 (OR)
Surgical Physician Assistant Primary 363AS0400XPA54090 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1902355753

Samantha Waters, PA-C's National Provider Identifier is 1902355753, issued on Sep 21, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Redding, CA. The record was last updated on Dec 2, 2021.