Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SAMANTHA YATES NUCKOLS, PA-C
ActiveMRS. SAMANTHA YATES NUCKOLS, PA-C is a Physician Assistant healthcare provider located in CREVE COEUR, Missouri. NPI 1316353121 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CREVE COEUR, MO
Registration Details
- NPI Number
- 1316353121
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 2, 2014 (12.102848877437 yrs)
- Last Updated
- Sep 24, 2019
- Licenses
-
0110-004588 (VA)2017044296 (MO)
Practice Information
- Address
-
11445 OLIVE BLVDCREVE COEUR, MO, 631417108Browse MO providers · Browse ZIP 63141
- Phone
- 3144289543
- Fax
- 3144289542
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in CREVE COEUR, MO
| Name | Credential | NPI |
|---|---|---|
| MS. AMIE C CHANG | P.A. | 1366557209 |
| MR. ALLEN E MATHIEU | PAC,ATC,MS | 1699850529 |
| MRS. LORI LEE MCLEOD | PA-C | 1932363462 |
| AMY MICHELLE ROSE | PA-C | 1992949531 |
| KEMIN CHEN | PA | 1326278102 |
| MR. LUKE ANDREW SHOULDERS | PA-C | 1659895266 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.