National Provider Identifier

Randall B Sam, ANP

Randall B Sam, ANP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Dunkirk, NY and a listed phone number of (716) 710-8266.

NPI 1487683769Dunkirk, NYAdult Health Nurse Practitioner

Profile Overview

NPI
1487683769
Provider Type
Individual
Primary Specialty
Adult Health Nurse Practitioner
Enumeration Date
June 30, 2006
Last Updated
April 17, 2023

Practice Location

  • 520 Central Ave # Vd
  • Dunkirk, NY 14048-2515

Phone: (716) 710-8266

Specialties

  • Adult Health Nurse Practitioner (363LA2200X)
Full Record
NPI
1487683769
Entity Type
Individual
Last Name
Sam
First Name
Randall
Middle Name
B
Credential
ANP
Mailing Street Address
520 Central Ave # Vd
Mailing City
Dunkirk
Mailing State
NY
Mailing ZIP Code
14048-2515
Mailing Country
US
Mailing Phone
(716) 710-8266
Practice Street Address
520 Central Ave # Vd
Practice City
Dunkirk
Practice State
NY
Practice ZIP Code
14048-2515
Practice Country
US
Practice Phone
(716) 710-8266
Enumeration Date
June 30, 2006
Last Updated
April 17, 2023
Sex
Male
Sole Proprietor
No
Certification Date
April 17, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Health Nurse Practitioner (363LA2200X)
Other Identifiers
223765 (NY)