ANYA COLOTHA SAMUEL PMHNP NPI 1144096785

NPI Information

NPI: 1144096785
Provider Name: ANYA COLOTHA SAMUEL, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
6444 FALCONWOOD DR
WENDELL, NC
ZIP 27591
Phone: (813) 351-9086
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Anya Colotha Samuel, PMHNP is a psychiatric/mental health nurse practitioner in Wendell, NC. Anya Colotha Samuel, PMHNP NPI is 1144096785. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6444 FALCONWOOD DR
WENDELL, NC
ZIP 27591-653
Phone: (813) 351-9086

The enumeration date for this NPI number is 11/27/2023 and was last updated on 11/27/2023.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	2023128902	NORTH CAROLINA	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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