SAMANTHA E BAZAN

FORT STEWART, GA
NPI1518191600
Former NameSAMANTHA E LESTER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VA  0024174619)
Additional Taxonomies163WC1500X Registered Nurse, Community Health
(Licence: VA  0001191133)
363LP2300X Nurse Practitioner, Primary Care
(Licence: VA  0024174619)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: VA  0001191133)
Enumeration Date2009-05-05
Last Update Date2023-12-13
Business Address
Ms. SAMANTHA E BAZAN FNP-C
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: 912-435-6365
Mailing Address
Ms. SAMANTHA E BAZAN FNP-C
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: 912-435-6965