Samantha Bryant
Individual provider Active NPI Licensed Practical Nurse · Newark, NY
NPI 1023484649 · NPPES record last updated Aug 18, 2015
Key facts
- NPI
- 1023484649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 320365 (NY)
- Practice address
- 3767 Maple Ridge Rd
Lot 92
Newark, NY 14513-9324 - Phone
- (585) 317-4511
- NPI assigned
- Aug 18, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 320365 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 320365 | NY | Yes |
Addresses
Primary practice location
3767 Maple Ridge Rd
Lot 92
Newark, NY 14513-9324
Mailing address
3767 Maple Ridge Rd
Lot 92
Newark, NY 14513-9324
Phone (585) 317-4511
Other providers in Newark, NY
- Taylor Jade Brignall
- Felicity J Brockhuizen
- Caitlin Ryan Brown
- Stevie Jerome Brown Jr.
- Julie Renee Brundage
- Karen Gebauer Buerman
- Rachel Phyllis Burger
- Hollis C Burgess
- Eileen Burghdurf
- Michaela P Burns
All providers in Newark, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.