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NPI Code Detail

MEDICARE: SAMANTHA GRACE GASTALDO CRNA

MEDICARE: SAMANTHA GRACE GASTALDO CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistAPRN.CRNA.0021523OH

General Provider Information

NPI Number : 1902764392
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA GRACE GASTALDO CRNA
Provider Business Mailing Address
First Line : PO BOX 7527
Second Line :
City : DUBLIN
State : OH
Zip : 43017-0727
Country : US
Telephone Number :
Fax Number : 614-544-6370
Provider Business Practice Location Address
First Line : 111 S GRANT AVE, 3RD FL
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-4701
Country : US
Telephone Number : 614-566-9871
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 06/03/2026

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