Elizabeth Sam, REGISTERED NURSE
Individual provider Active NPI Community Health Registered Nurse · Owyhee, NV
NPI 1235533910 · NPPES record last updated Oct 9, 2014
Key facts
- NPI
- 1235533910
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- R40849 (ND)
- Practice address
- 1623 Hospital Loop
Owyhee, NV 89832-1200 - Phone
- (775) 757-2415
- Fax
- (775) 757-2066
- NPI assigned
- Oct 9, 2014
- 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 |
|---|---|---|---|
| R40849 | ND | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | R40849 | ND | Yes |
Addresses
Primary practice location
1623 Hospital Loop
Owyhee, NV 89832-1200
Mailing address
PO Box 159
Owyhee, NV 89832-0159
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R40849 | Other | ND | RN LICENSE |
Other providers in Owyhee, NV
- Owyhee Community Health Facility
- Kenneth W Pete
- Steven M Polatis
- Kelly Kathleen Rhodes
- Shayanne Rose
- Ethelyn Jane Shaw
- Shoshone Paiute Tribes
- Shoshone Paiute Tribes
- Shoshone Paiute Tribes
- Shoshone Paiute Tribes Dba Senior Center
All providers in Owyhee, NV · Community Health Registered Nurse in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2014. 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.