Provider Demographics
NPI:1134718802
Name:NIGRO, SAMANTHA GABRIELLE (PA-C)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:GABRIELLE
Last Name:NIGRO
Suffix:
Gender:
Credentials:PA-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3087 STANHOPE WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95833-1029
Mailing Address - Country:US
Mailing Address - Phone:908-644-7712
Mailing Address - Fax:
Practice Address - Street 1:3441 MARYSVILLE BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95838-4512
Practice Address - Country:US
Practice Address - Phone:916-737-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-15
Last Update Date:2025-02-26
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant