National Provider Identifier
Marisha S Samuel
Marisha S Samuel is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Niagara Falls, NY and a listed phone number of (716) 526-7538.
Profile Overview
- NPI
- 1023864469
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- April 26, 2024
- Last Updated
- April 26, 2024
Practice Location
- 2736 Livingston Ave
- Niagara Falls, NY 14303-2020
Phone: (716) 526-7538
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1023864469
- Entity Type
- Individual
- Last Name
- Samuel
- First Name
- Marisha
- Middle Name
- S
- Mailing Street Address
- 2736 Livingston Ave
- Mailing City
- Niagara Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14303-2020
- Mailing Country
- US
- Mailing Phone
- (716) 526-7538
- Practice Street Address
- 2736 Livingston Ave
- Practice City
- Niagara Falls
- Practice State
- NY
- Practice ZIP Code
- 14303-2020
- Practice Country
- US
- Practice Phone
- (716) 526-7538
- Enumeration Date
- April 26, 2024
- Last Updated
- April 26, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- April 26, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)