Provider Demographics
NPI:1982187738
Name:PFEIFFER, SAMANTHA (ND)
Entity Type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:
Last Name:PFEIFFER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7711 NE 175TH ST UNIT C204
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-3581
Mailing Address - Country:US
Mailing Address - Phone:719-680-3548
Mailing Address - Fax:
Practice Address - Street 1:7711 NE 175TH ST UNIT C204
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:WA
Practice Address - Zip Code:98028-3581
Practice Address - Country:US
Practice Address - Phone:719-680-3548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-07
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath