Basic Information
| Provider Information | |||||||||
| NPI: | 1811243637 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SAMPSON | ||||||||
| FirstName: | ROXANNE | ||||||||
| MiddleName: | |||||||||
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| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 156 TURNER RIDGE DR | ||||||||
| Address2: | |||||||||
| City: | HARRISON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 450302549 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5138450291 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 4750 WESLEY AVE | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452122244 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5135315110 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/30/2012 | ||||||||
| LastUpdateDate: | 07/30/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 190353 | OH | Y | Nursing Service Providers | Registered Nurse |
No ID Information.