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NPI Code Detail

MEDICARE: ISATU SAMURA

MEDICARE:   ISATU  SAMURA
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 NurseRN277269OH

General Provider Information

NPI Number : 1861855322
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISATU SAMURA
Provider Business Mailing Address
First Line : 3456 QUINLAN BLVD
Second Line :
City : CANAL WINCHESTER
State : OH
Zip : 43110-9120
Country : US
Telephone Number : 614-218-9158
Fax Number : 614-218-9205
Provider Business Practice Location Address
First Line : 3456 QUINLAN BLVD
Second Line :
City : CANAL WINCHESTER
State : OH
Zip : 43110-9120
Country : US
Telephone Number : 614-218-9158
Fax Number : 614-218-9205
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2016
Last Update Date : 01/15/2026

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Directions to “ ISATU SAMURA ” Practice Location

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