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LAURELL SAMPLE CRNP
NPI 1366108052
Nurse Practitioner - Acute Care in Philadelphia, PA

Active since November 17, 2021
3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-8306 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Laurell Sample Crnp NPPES

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

LAURELL SAMPLE CRNP (NPI 1366108052) is an individual acute care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP024642) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1366108052
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameLAURELL SAMPLECredential: CRNP
Location Address3401 N BROAD STPhiladelphia, PA 19140-5189
Mailing Address1605 Norristown RdAmbler, PA 19002-2744 · (267) 970-1694
Phone(215) 707-8306
Sole ProprietorYes
Enumeration DateNovember 17, 2021
NPPES CertifiedNovember 17, 2021
✔ NPI 1366108052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in PA · SP024642
3401 N BROAD ST, Philadelphia, PA 19140
Open in Google Maps ↗

Other Identifiers 1

OtherSP024642PA · Crnp License Number

Other Providers at the Same Location NPPES 20

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

DR. JAMIE L. GARFIELD MD
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-5864
ELIZABETH DIANE DAUER MD
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3133
MARIA ESTHER ESCORCIA DE LEON M.D.
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-1622
JEONGAE YOON M.D.
Anesthesiology
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3326
DR. SUSETE CARNEIRO M.D.
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (201) 317-3485
DR. SARAH DENISE FENERTY M.D.
Radiology (Diagnostic Radiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-7237
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Radiology (Radiation Oncology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-4233
EDUARDO DOMINGUEZ CASTILLO M.D.
Internal Medicine (Pulmonary Disease)
3401 N BROAD ST, 812 PARKINSON PAVILION
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-5864

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 Laurell Sample's NPI number?

The NPI number for Laurell Sample is 1366108052. It was assigned to this individual provider in the NPPES registry on November 17, 2021.

Where is Laurell Sample located?

Laurell Sample practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-8306.

What is Laurell Sample's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Laurell Sample was last updated on November 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.