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Samantha Nuckols, PA-C
NPI 1316353121 · on the registry since 2014
Practice
- Address
- 11445 Olive Blvd
Creve Coeur, MO 63141 - Phone
- (314) 428-9543
- Fax
- (314) 428-9542
- Clinicians at this address
- 7
Additional practice sites
- 115 Jameson Way, Seven Fields, PA
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
Physician Assistant - Licence states on file
- VA, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-09-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri