Healthcare Provider Details

I. General information

NPI: 1629800974
Provider Name (Legal Business Name): SAMANTHA CLAIRE HANLEY DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SAMANTHA CLAIRE QUINN BSN

II. Dates (important events)

Enumeration Date: 08/15/2024
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 BRANCH ST STE 100
METHUEN MA
01844-1979
US

IV. Provider business mailing address

5 BRANCH ST STE 100
METHUEN MA
01844-1979
US

V. Phone/Fax

Practice location:
  • Phone: 978-620-2020
  • Fax: 978-620-2299
Mailing address:
  • Phone: 978-620-2020
  • Fax: 978-620-2299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2301603
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: