| Doctor Name: | SAMANTHA FICKEL |
| NPI Number: | 1053781138 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | RN632842 |
| Business Practice Address: | 899 Poplar Church Rd Camp Hill, PA - 170112206 |
| Business Phone Number: | 7177630430 |
| Business Fax Number: | 7177639854 |
| Mailing Address: | 899 Poplar Church Rd, CAMP HILL |
| State: | PA |
| Postal Code: | 170112206 |
| Phone Number: | 7177630430 |
| Fax Number: | 7177639854 |
| NPI Enumeration Date: | 10/01/2015 |
| NPI Last Update Date: | 10/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN632842 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |