MRS. Samantha Yates Nuckols, PA-C

NPI #1316353121 in Creve Coeur, Missouri

Provider Information

NPI Number: 1316353121
Entity Type: Individual
Name: MRS. Samantha Yates Nuckols, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 2, 2014
Last Updated: Sep 24, 2019

Practice Location

Address: 11445 OLIVE BLVD
City: Creve Coeur
State: Missouri
ZIP Code: 63141-7108
Phone: (314) 428-9543

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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