SAMANTHA TALICIA MCBEAN
NPI 1245822691
Registered Nurse - Home Health in Port St Lucie, FL
Active since February 08, 2021
About Samantha Talicia Mcbean NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA TALICIA MCBEAN (NPI 1245822691) is an individual home health provider in Port St Lucie, Florida, licensed in Florida (334545) and active in the NPI registry since February 2021.
NPPES Registry Identity
NPI1245822691
Entity TypeIndividualFemale
Primary Taxonomy163WH0200X
Provider Legal NameSAMANTHA TALICIA MCBEAN
Location Address1672 BELLA VISTA WAYPort St Lucie, FL 34952-2634
Mailing Address1672 Bella Vista WayPort St Lucie, FL 34952-2634 · (954) 290-4566
Phone(954) 290-4566
Sole ProprietorYes
Enumeration DateFebruary 8, 2021
NPPES CertifiedFebruary 8, 2021
✔ NPI 1245822691 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Home HealthNursing Service Providers
Taxonomy Code163WH0200X
License✔ Licensed in FL · 334545
1672 BELLA VISTA WAY, Port St Lucie, FL 34952
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
The NPI number assigned to this healthcare provider is 1245822691, enumerated as an "individual" on February 08, 2021.
The provider is located at 1672 BELLA VISTA WAY PORT ST LUCIE, FL 34952 and the phone number is (954) 290-4566.
Registered Nurse with taxonomy code 163WH0200X and a focus in Home Health.
