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MRS. HEATHER MARIE SAMUELSEN LPN
NPI 1780968305
Licensed Practical Nurse in Mastic Beach, NY

Active since September 30, 2011
46 WASHINGTON AVENUE, MASTIC BEACH, NY 11951(631) 772-8310 Get Directions Write a Review

NPPES record last updated: September 30, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Heather Marie Samuelsen Lpn NPPES

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

MRS. HEATHER MARIE SAMUELSEN LPN (NPI 1780968305) is an individual licensed practical nurse in Mastic Beach, New York, licensed in New York (10-307069) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1780968305
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. HEATHER MARIE SAMUELSENCredential: LPN
Location Address46 WASHINGTON AVENUEMastic Beach, NY 11951-1915
Mailing Address46 Washington AveMastic Beach, NY 11951-1915 · (631) 772-8310
Phone(631) 772-8310
Sole ProprietorYes
Enumeration DateSeptember 30, 2011
✔ NPI 1780968305 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 · 10-307069
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.
46 WASHINGTON AVENUE, Mastic Beach, NY 11951
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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 Heather Samuelsen's NPI number?

The NPI number for Heather Samuelsen is 1780968305. It was assigned to this individual provider in the NPPES registry on September 30, 2011.

Where is Heather Samuelsen located?

Heather Samuelsen practices at 46 Washington Avenue, Mastic Beach, NY 11951. The listed phone number is (631) 772-8310.

What is Heather Samuelsen'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 Heather Samuelsen was last updated on September 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.