Basic Information
| Provider Information | |||||||||
| NPI: | 1255391280 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CARLANTONIO | ||||||||
| FirstName: | SAMANTHA | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 716 | ||||||||
| Address2: | |||||||||
| City: | SHARON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 161460716 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7247048886 | ||||||||
| FaxNumber: | 7243421942 | ||||||||
| Practice Location | |||||||||
| Address1: | 350 SHARON NEW CASTLE RD | ||||||||
| Address2: | |||||||||
| City: | FARRELL | ||||||||
| State: | PA | ||||||||
| PostalCode: | 161211576 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7249818070 | ||||||||
| FaxNumber: | 7247047418 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/24/2006 | ||||||||
| LastUpdateDate: | 08/25/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN522388L | PA | N | Nursing Service Providers | Registered Nurse | 363LW0102X | SP007937 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Women's Health |
No ID Information.