Provider Demographics
NPI:1467627901
Name:GETZ, SAMANTHA (CRNP)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:GETZ
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6301 OXFORD AVE
Mailing Address - Street 2:EXPRESSCARE
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111-5366
Mailing Address - Country:US
Mailing Address - Phone:877-679-7737
Mailing Address - Fax:
Practice Address - Street 1:6301 OXFORD AVE
Practice Address - Street 2:EXPRESSCARE
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111-5366
Practice Address - Country:US
Practice Address - Phone:877-679-7737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007773363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily