Healthcare Provider Details

I. General information

NPI: 1205751278
Provider Name (Legal Business Name): SAMARA LINN HEMBREE FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5996 E 64TH AVE
COMMERCE CITY CO
80022-3317
US

IV. Provider business mailing address

3007 AMES ST
WHEAT RIDGE CO
80214-8539
US

V. Phone/Fax

Practice location:
  • Phone: 720-792-0791
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.1002283-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: