Provider Demographics
NPI:1447725379
Name:WEINHOLD, SAMANTHA COCHRANE (CNM)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:COCHRANE
Last Name:WEINHOLD
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:CAROL
Other - Last Name:COCHRANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4011 W CORNWALLIS RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-6302
Mailing Address - Country:US
Mailing Address - Phone:919-937-7610
Mailing Address - Fax:
Practice Address - Street 1:930 3RD ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-6967
Practice Address - Country:US
Practice Address - Phone:336-890-3200
Practice Address - Fax:336-890-3290
Is Sole Proprietor?:No
Enumeration Date:2018-10-08
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
367A00000X
NC720367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife