Healthcare Provider Details

I. General information

NPI: 1801758727
Provider Name (Legal Business Name): SAMANTHA CUNEO
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 11/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

176 W MAPLE AVE
DENVER CO
80223-1841
US

IV. Provider business mailing address

176 W MAPLE AVE
DENVER CO
80223-1841
US

V. Phone/Fax

Practice location:
  • Phone: 616-204-9802
  • Fax:
Mailing address:
  • Phone: 616-204-9802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: