Provider Demographics
NPI:1710511555
Name:PHARO, SAMANTHA CLAIRE (CNP)
Entity type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:CLAIRE
Last Name:PHARO
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7991 BEECHMONT AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-3189
Mailing Address - Country:US
Mailing Address - Phone:513-346-3399
Mailing Address - Fax:513-346-2245
Practice Address - Street 1:7991 BEECHMONT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-3189
Practice Address - Country:US
Practice Address - Phone:513-346-3399
Practice Address - Fax:513-346-2245
Is Sole Proprietor?:No
Enumeration Date:2020-03-02
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.026363363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily