Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samantha Anne Koski, PA

Individual provider Medical Physician Assistant · NPI 1790595197

Samantha Anne Koski, PA is a Medical Physician Assistant in Henderson, Nevada. Licensed in Nevada. Registered with an NPI since 2025.

Licensed in
NV
In the registry since
2025
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

475 E Bruner Ave Ste 130
Henderson, NV 89044
Phone: (702) 763-2263
Fax: (702) 723-3765
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence PA0794 (NV)
Medical Physician Assistant Taxonomy 363AM0700X (NV)

Record details

NPI number1790595197
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 9, 2025
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

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