Healthcare Provider Details

I. General information

NPI: 1841705860
Provider Name (Legal Business Name): SAMANTHA L GARNER APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2017
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 HOSPITAL PL STE 103B
SOLDOTNA AK
99669-7559
US

IV. Provider business mailing address

250 HOSPITAL PL
SOLDOTNA AK
99669-7559
US

V. Phone/Fax

Practice location:
  • Phone: 907-714-6120
  • Fax: 907-416-7683
Mailing address:
  • Phone: 907-714-4038
  • Fax: 907-262-5191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number164898
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA005426
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: