DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMANTHA B BRUNNER, PA-C

Active

SAMANTHA B BRUNNER, PA-C is a Physician Assistant healthcare provider located in GRAND COULEE, Washington. NPI 1639451750 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · GRAND COULEE, WA

Registration Details

NPI Number
1639451750
Provider Type
Individual
Gender
Female
NPI Issued
Sep 14, 2011 (14.917227785896 yrs)
Last Updated
Oct 1, 2020
Licenses
PA60233756 (WA)
PA60233756 (WA)

Practice Information

Address
411 FORTUYN RD
GRAND COULEE, WA, 991338718
Browse WA providers · Browse ZIP 99133
Phone
5096331911
Fax
5096333644
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in GRAND COULEE, WA

Name Credential NPI
MRS. KATHLEEN CHRISTINE HENRY P.A.-C 1740653807
ALLY A WEBB PA-C 1174306815
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.