Provider Demographics
NPI:1780084541
Name:SCHERZINGER, SAMANTHA (APN)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:SCHERZINGER
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:912 COLE ST # 368
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-4316
Mailing Address - Country:US
Mailing Address - Phone:415-843-1523
Mailing Address - Fax:415-484-7083
Practice Address - Street 1:100 BUSH ST STE 1428
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-3916
Practice Address - Country:US
Practice Address - Phone:415-843-1523
Practice Address - Fax:415-484-7083
Is Sole Proprietor?:No
Enumeration Date:2014-08-29
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95158382163W00000X
CA95008884363L00000X
MDR218456163W00000X, 363LP0808X
DCRN1043476363LP0808X
VA0024174415363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner