Samantha Meola
Individual provider Active NPI School Registered Nurse · Walton, NY
NPI 1760966261 · NPPES record last updated Sep 20, 2018
Key facts
- NPI
- 1760966261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 679894 (NY)
- Practice address
- 47 Stockton Ave
Walton, NY 13856-1475 - Phone
- (607) 865-4116
- NPI assigned
- Sep 20, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 679894 | NY | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 679894 | NY | Yes |
Addresses
Primary practice location
47 Stockton Ave
Walton, NY 13856-1475
Mailing address
47 Stockton Ave
Walton, NY 13856-1475
Other providers in Walton, NY
- Leslie Sue McClenon
- Cathleen B McLachlan
- Johanna Meador
- Amy Elizabeth Melson
- Marjorie Menardy Magloire
- Debra Ann Mierop
- Miracle Pregnancy & Birth Services
- Gary Mitkowski
- Nathan Moodley
- Erika Nerzak
All providers in Walton, NY · School Registered 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 Sep 20, 2018. 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.