Doctor Name: | ANNA W. SAMS |
NPI Number: | 1104155530 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP-BC |
License Number: | 5004551 |
Business Practice Address: | 233 Gilmer St Reidsville, NC - 273203809 |
Business Phone Number: | 3363426196 |
Business Fax Number: | 3363497638 |
Mailing Address: | 233 Gilmer Street, Po Box 2899 REIDSVILLE |
State: | NC |
Postal Code: | 273201069 |
Phone Number: | 3363426196 |
Fax Number: | 3363497638 |
NPI Enumeration Date: | 12/14/2009 |
NPI Last Update Date: | 09/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 5004551 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |