Provider Demographics
NPI:1750962098
Name:CINADR, SAMANTHA J (NP)
Entity type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:J
Last Name:CINADR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:SAMANTHA
Other - Middle Name:J
Other - Last Name:CONDRON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22 W DRY CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-4413
Mailing Address - Country:US
Mailing Address - Phone:303-730-4700
Mailing Address - Fax:303-930-8059
Practice Address - Street 1:22 W DRY CREEK CIR
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-4413
Practice Address - Country:US
Practice Address - Phone:303-730-4700
Practice Address - Fax:303-730-4790
Is Sole Proprietor?:No
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0996104-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner