Doctor Name: | SAMUEL PHILLIP HELD |
NPI Number: | 1740575000 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP |
License Number: | R33220 |
Business Practice Address: | Hwy 281 N Cando, ND - 583240688 |
Business Phone Number: | 7019684411 |
Business Fax Number: | |
Mailing Address: | Hwy 281 N, CANDO |
State: | ND |
Postal Code: | 583240688 |
Phone Number: | 7019684411 |
Fax Number: | |
NPI Enumeration Date: | 06/15/2011 |
NPI Last Update Date: | 06/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R33220 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |