Provider Demographics
NPI:1578603270
Name:REID, SAMANTHA HOLMES (MSN, CRNP)
Entity Type:Individual
Prefix:MS
First Name:SAMANTHA
Middle Name:HOLMES
Last Name:REID
Suffix:
Gender:F
Credentials:MSN, CRNP
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Other - First Name:
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Mailing Address - Street 1:251 DILWORTH ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15211-1831
Mailing Address - Country:US
Mailing Address - Phone:412-390-0299
Mailing Address - Fax:
Practice Address - Street 1:3705 5TH AVE
Practice Address - Street 2:DIVISION OF ENDOCRINOLOGY, DESOTO WING 4A
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2584
Practice Address - Country:US
Practice Address - Phone:412-692-5854
Practice Address - Fax:412-692-7451
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP009108363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics