Samantha McLain, LPN

Individual provider Active NPI Licensed Practical Nurse · Whitney Point, NY

NPI 1164031449 · NPPES record last updated Jul 23, 2020

Key facts

NPI
1164031449
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
325957 (NY)
Practice address
2622 Main St
Whitney Point, NY 13862-2242
Phone
(607) 321-3179
NPI assigned
Jul 23, 2020
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

LicenseStateTypeSpecialty
325957NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 325957 NY Yes

Addresses

Primary practice location

2622 Main St
Whitney Point, NY 13862-2242

Mailing address

PO Box 243
Whitney Point, NY 13862-0243
Phone (607) 321-3179

Other providers in Whitney Point, NY

All providers in Whitney Point, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.