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SAMANTHA JUSTESEN
NPI 1447089800
Licensed Practical Nurse in Manorville, NY

Active since August 01, 2024
107 DAYTON AVE, MANORVILLE, NY 11949(631) 449-5345 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samantha Justesen NPPES

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

SAMANTHA JUSTESEN (NPI 1447089800) is an individual licensed practical nurse in Manorville, New York, licensed in New York (350444) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1447089800
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSAMANTHA JUSTESEN
Location Address107 DAYTON AVEManorville, NY 11949
Mailing Address107 Dayton AveManorville, NY 11949 · (631) 449-5345
Phone(631) 449-5345
Sole ProprietorYes
Enumeration DateAugust 1, 2024
NPPES CertifiedAugust 1, 2024
✔ NPI 1447089800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 350444
Definition
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.
107 DAYTON AVE, Manorville, NY 11949
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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 Samantha Justesen's NPI number?

The NPI number for Samantha Justesen is 1447089800. It was assigned to this individual provider in the NPPES registry on August 1, 2024.

Where is Samantha Justesen located?

Samantha Justesen practices at 107 Dayton Ave, Manorville, NY 11949. The listed phone number is (631) 449-5345.

What is Samantha Justesen's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Samantha Justesen was last updated on August 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.