Individual provider · Type 1 NPI
Samantha Ann Stavinoha, RN, BSN, NNP-BC
Neonatal Nurse Practitioner · San Antonio, TX
NPI number
1992034524
Active
Practice location
4502 Medical Dr
San Antonio, TX 78229-4402
Mailing address
5430 Fredericksburg Road, Suite 508
San Antonio, TX 78229-3561
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 703269 (TX) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Neonatal Nurse Practitioner Primary | 363LN0000X | AP118901 (TX) |
Neonatal Nurse Practitioner: Definition to come...
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About NPI 1992034524
Samantha Ann Stavinoha, RN, BSN, NNP-BC's National Provider Identifier is 1992034524, issued on Dec 10, 2009. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in San Antonio, TX. The record was last updated on Jun 13, 2017.