MRS. DESIREE ELIZABETH SAMPLES FNP-BC NPI 1285992297

NPI Information

NPI: 1285992297
Provider Name: MRS. DESIREE ELIZABETH SAMPLES, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1317 15TH ST SE
DEMOTTE, IN
ZIP 46310
Phone: (219) 270-3358
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MRS. Desiree Elizabeth Samples, FNP-BC is a family nurse practitioner in Demotte, IN. MRS. Desiree Elizabeth Samples, FNP-BC NPI is 1285992297. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1317 15TH ST SE
DEMOTTE, IN
ZIP 46310-393
Phone: (219) 270-3358
Fax: (814) 292-9196

The NPI 1285992297 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/26/2012 and was last updated on 4/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	71003904A	INDIANA	No
2	363LF0000X	Nurse Practitioner	Family	28164959A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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