Provider Demographics
NPI:1780498683
Name:NAUGHTEN, SAMANTHA MAE (FNP-C)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:MAE
Last Name:NAUGHTEN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MRS
Other - First Name:SAMANTHA
Other - Middle Name:MAE
Other - Last Name:DOUVILLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-C
Mailing Address - Street 1:2378 E STACEY RD
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-0552
Mailing Address - Country:US
Mailing Address - Phone:408-425-9277
Mailing Address - Fax:
Practice Address - Street 1:5505 W CHANDLER BLVD STE 11
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-3683
Practice Address - Country:US
Practice Address - Phone:480-841-5708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ314593363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily