Provider Demographics
NPI:1770941288
Name:HASPEL, SAMANTHA ALEXANDER (CNM)
Entity type:Individual
Prefix:MS
First Name:SAMANTHA
Middle Name:ALEXANDER
Last Name:HASPEL
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 LINDSAY ST
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-4829
Mailing Address - Country:US
Mailing Address - Phone:336-889-2000
Mailing Address - Fax:336-889-2027
Practice Address - Street 1:405 LINDSAY ST
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-4829
Practice Address - Country:US
Practice Address - Phone:336-889-2000
Practice Address - Fax:336-889-2027
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-29
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA235716367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife