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NPI Code Detail

MEDICARE: SAMANTHA LIND CRNA

MEDICARE: SAMANTHA LIND 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 Anesthetist294455AZ
2367500000XCertified Registered Nurse AnesthetistR238320MD

General Provider Information

NPI Number : 1174284442
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA LIND CRNA
Provider Business Mailing Address
First Line : 13400 E SHEA BLVD
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85259-5499
Country : US
Telephone Number : 480-301-8000
Fax Number :
Provider Business Practice Location Address
First Line : 13400 E SHEA BLVD
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85259-5499
Country : US
Telephone Number : 480-301-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2022
Last Update Date : 12/10/2025

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