SAMANTHA REYNOLDS
NPI 1417478058
Licensed Practical Nurse in Clayton, NY
- Individual
- Female
- Licensed Practical Nurse
About SAMANTHA REYNOLDS
This page provides the complete NPI Profile along with additional information for Samantha Reynolds, a provider established in Clayton, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1417478058 assigned on July 2017. The practitioner's primary taxonomy code is 164W00000X with license number 308153 (NY). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1417478058 Verify this NPI
- Provider Name
- SAMANTHA REYNOLDS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 119D JOSEPH LONSWAY DR CLAYTON, NY 13624
- Location Phone
- (315) 408-6479
- Mailing Address
- 119D JOSEPH LONSWAY DR CLAYTON, NY 13624
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-05-2017
- Last Update Date
- 07-05-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 308153
- License State
- NY
- Taxonomy Description
- A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417478058, enumerated as an "individual" on July 05, 2017.
The provider is located at 119D JOSEPH LONSWAY DR CLAYTON, NY 13624 and the phone number is (315) 408-6479.
Licensed Practical Nurse with taxonomy code 164W00000X.
