Provider Demographics
NPI:1205138849
Name:POSS, SAMANTHA LAURIE (ARNP, PMHNP-BC, MSN)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:LAURIE
Last Name:POSS
Suffix:
Gender:F
Credentials:ARNP, PMHNP-BC, MSN
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:3409 CHANDLER PKWY
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-4141
Mailing Address - Country:US
Mailing Address - Phone:843-708-3329
Mailing Address - Fax:
Practice Address - Street 1:1616 CORNWALL AVE STE 205
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4642
Practice Address - Country:US
Practice Address - Phone:360-676-6177
Practice Address - Fax:360-671-3574
Is Sole Proprietor?:No
Enumeration Date:2010-12-02
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
101YM0800X
WAAP60781211363LP0808X
CA95010741363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health