Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | SP001051C | PA |
NPI | 1003236985 |
---|---|
Provider Name | Ms. Linda Whitby Sampson |
First Address | Pittsburgh, PA 15238 |
Second Address | Pittsburgh, PA 15238 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2014 |
Last Update Date | 18/04/2014 |