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NPI Code Detail

MEDICARE: SAMANTHA KRISTEN DECANDIA

MEDICARE: SAMANTHA KRISTEN DECANDIA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN796933PA

General Provider Information

NPI Number : 1043029044
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA KRISTEN DECANDIA
Provider Business Mailing Address
First Line : 1010 AVACOLL DR
Second Line :
City : PITTSBURGH
State : PA
Zip : 15220-3204
Country : US
Telephone Number : 201-694-7110
Fax Number :
Provider Business Practice Location Address
First Line : 3500 VICTORIA ST # VB360A
Second Line :
City : PITTSBURGH
State : PA
Zip : 15213-2543
Country : US
Telephone Number : 412-624-4586
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2025
Last Update Date : 01/03/2025

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Directions to “ SAMANTHA KRISTEN DECANDIA ” Practice Location

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