NPI 1417209644

Samantha Dorman, PA

Practitioner Psychiatric/Mental Health Clinical Nurse Specialist Mesa, AZ

Practice location

Address: 2204 S Dobson Rd STE 201, Mesa, AZ 85202-6457
Phone: (602) 230-7373
Fax: (480) 629-8577
Mailing address: 3101 N Central Ave STE 550, Phoenix, AZ 85012-2635

Registered specialties (2)

Psychiatric/Mental Health Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0808X Licence 5276 (AZ)

Other Clinical Nurse Specialist providers in Arizona →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5276 (AZ)

Other Physician Assistant providers in Arizona →

Registry record

NPI: 1417209644
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Oct 2012
Record last updated: 17 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.