ANYA COLOTHA SAMUEL PMHNP
NPI 1144096785
Nurse Practitioner - Psychiatric/Mental Health in Wendell, NC

Active since November 27, 2023
6444 FALCONWOOD DR, WENDELL, NC 27591(813) 351-9086 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anya Colotha Samuel Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANYA COLOTHA SAMUEL PMHNP (NPI 1144096785) is an individual psychiatric/mental health provider in Wendell, North Carolina, licensed in North Carolina (2023128902) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1144096785
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameANYA COLOTHA SAMUELCredential: PMHNP
Location Address6444 FALCONWOOD DRWendell, NC 27591-9653
Mailing Address6444 Falconwood DrWendell, NC 27591-9653 · (813) 351-9086
Sole ProprietorYes
Enumeration DateNovember 27, 2023
NPPES CertifiedNovember 26, 2023
NPI 1144096785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NC · 2023128902
6444 FALCONWOOD DR, Wendell, NC 27591

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anya Samuel's NPI number?

The NPI number for Anya Samuel is 1144096785. It was assigned to this individual provider in the NPPES registry on November 27, 2023.

Where is Anya Samuel located?

Anya Samuel practices at 6444 Falconwood Dr, Wendell, NC 27591. The listed phone number is (813) 351-9086.

What is Anya Samuel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Anya Samuel was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.