Provider Demographics
NPI:1033875109
Name:ESSENBERG, SAMANTHA HURTADO (NP)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:HURTADO
Last Name:ESSENBERG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:NICOLE
Other - Last Name:HURTADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5508 SISKEN AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-9544
Mailing Address - Country:US
Mailing Address - Phone:661-586-0109
Mailing Address - Fax:
Practice Address - Street 1:4325 BUENA VISTA RD
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-8701
Practice Address - Country:US
Practice Address - Phone:661-410-1010
Practice Address - Fax:661-410-1110
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-12
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95019142363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner