Healthcare Provider Details

I. General information

NPI: 1184299505
Provider Name (Legal Business Name): SAMANTHA CHRISTINE SAINT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2021
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3203 OSBORNE DR W STE 101
HASTINGS NE
68901-9140
US

IV. Provider business mailing address

306 E 9TH ST
HASTINGS NE
68901-4067
US

V. Phone/Fax

Practice location:
  • Phone: 402-834-1005
  • Fax: 402-303-1022
Mailing address:
  • Phone: 785-747-7589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number2919
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: