LAURA J SAMUEL NP
NPI 1215972633
Nurse Practitioner in Grand Rapids, MI

Q: What is Laura Samuel's NPI number?

The NPI number for Laura Samuel is 1215972633. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Q: What is Laura Samuel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Laura Samuel was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since June 19, 2006

3700 52ND ST SE, GRAND RAPIDS, MI 49512(616) 656-3700(616) 656-3701 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Laura J Samuel Np NPPES

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

LAURA J SAMUEL NP (NPI 1215972633) is an individual nurse practitioner in Grand Rapids, Michigan and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1215972633

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLAURA J SAMUELCredential: NP

Location Address3700 52ND ST SEGrand Rapids, MI 49512-9637

Mailing Address3700 52nd St SeGrand Rapids, MI 49512-9637 · (616) 656-3700 · Fax (616) 656-3701

Phone(616) 656-3700

Fax(616) 656-3701

Sole ProprietorNo

Enumeration DateJune 19, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1215972633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3700 52ND ST SE, Grand Rapids, MI 49512

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Other Identifiers 2

Medicare ID-Type UnspecifiedD16227009MI

Medicare UPINQ07974MI

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMMY BORN HUIZENGA D.O.

Family Medicine