Samantha Carpenter, RN
Individual provider Active NPI School Registered Nurse · Odessa, DE
NPI 1740953264 · NPPES record last updated Jul 29, 2021
Key facts
- NPI
- 1740953264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 108879 (DE)
- Practice address
- 313 S 5TH St
Odessa, DE 19730-2078 - Phone
- (302) 378-5023
- NPI assigned
- Jul 29, 2021
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108879 | DE | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 108879 | DE | Yes |
Addresses
Primary practice location
313 S 5TH St
Odessa, DE 19730-2078
Mailing address
313 S 5TH St
Odessa, DE 19730-2078
Other practice location 1
31969 Griffith Dr
Galena, MD 21635-1413
Phone (267) 968-4639
Other names
- Samantha Furtak
Other providers in Odessa, DE
- Pamela Justis Boyle
- Andrea Calhoun
- Yvonne Camac
- Margaret Capelli
- Nicole Carbone-Hash
- Ryan Clifton
- Katrina Noelle Conner
- Charisse Blevins Craig
- Elizabeth Cycyk
- Alyssa Nicole Daly
All providers in Odessa, DE · School Registered Nurse in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2021. 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.