National Provider Identifier

Samantha L Nelson

Samantha L Nelson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Wayland, NY and a listed phone number of (585) 305-5419.

NPI 1265703946Wayland, NYLicensed Practical Nurse

Profile Overview

NPI
1265703946
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 26, 2012
Last Updated
January 26, 2012

Practice Location

  • 119 3Rd Ave
  • Wayland, NY 14572-1230

Phone: (585) 305-5419

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1265703946
Entity Type
Individual
Last Name
Nelson
First Name
Samantha
Middle Name
L
Mailing Street Address
119 3Rd Ave
Mailing City
Wayland
Mailing State
NY
Mailing ZIP Code
14572-1230
Mailing Country
US
Mailing Phone
(585) 305-5419
Practice Street Address
119 3Rd Ave
Practice City
Wayland
Practice State
NY
Practice ZIP Code
14572-1230
Practice Country
US
Practice Phone
(585) 305-5419
Enumeration Date
January 26, 2012
Last Updated
January 26, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)