SAMANTHA ANNE MANCUSO

LEXINGTON, KY
NPI1396283529
Former NameSAMANTHA ANNE MANGOLD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: KY  3011114)
Enumeration Date2017-02-08
Last Update Date2017-02-08
Business Address
Mrs. SAMANTHA ANNE MANCUSO DNP, APRN, AGACNP-BC
740 S LIMESTONE L543 KY CLINIC
LEXINGTON, KY 40536-0284
Phone number: 270-792-8157
Mailing Address
Mrs. SAMANTHA ANNE MANCUSO DNP, APRN, AGACNP-BC
800 ROSE ST
LEXINGTON, KY 40536-7001
Phone number: 270-792-8157
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