National Provider Identifier

Samantha Bryant

Samantha Bryant is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Newark, NY and a listed phone number of (585) 317-4511.

NPI 1023484649Newark, NYLicensed Practical Nurse

Profile Overview

NPI
1023484649
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 18, 2015
Last Updated
August 18, 2015

Practice Location

  • 3767 Maple Ridge RD
  • Lot 92
  • Newark, NY 14513-9324

Phone: (585) 317-4511

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1023484649
Entity Type
Individual
Last Name
Bryant
First Name
Samantha
Mailing Street Address
3767 Maple Ridge RD
Mailing Address Line 2
Lot 92
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513-9324
Mailing Country
US
Mailing Phone
(585) 317-4511
Practice Street Address
3767 Maple Ridge RD
Practice Address Line 2
Lot 92
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-9324
Practice Country
US
Practice Phone
(585) 317-4511
Enumeration Date
August 18, 2015
Last Updated
August 18, 2015
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)