Provider Demographics
NPI:1639967318
Name:ANDERSON, SAMANTHA CHRISTINE (MSN, BSN, RN)
Entity type:Individual
Prefix:MISS
First Name:SAMANTHA
Middle Name:CHRISTINE
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MSN, BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3470 S SHERMAN ST STE 3
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2663
Mailing Address - Country:US
Mailing Address - Phone:303-481-3489
Mailing Address - Fax:720-535-4664
Practice Address - Street 1:3470 S SHERMAN ST STE 3
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2663
Practice Address - Country:US
Practice Address - Phone:303-481-3489
Practice Address - Fax:720-535-4664
Is Sole Proprietor?:No
Enumeration Date:2025-04-30
Last Update Date:2025-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO1001167363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health