Healthcare Provider Details

I. General information

NPI: 1770380289
Provider Name (Legal Business Name): ISABEL PALOMA SAMANIEGO FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2025
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DUKE CLINIC 40 DUKE MEDICINE CIR
DURHAM NC
27710-0001
US

IV. Provider business mailing address

975 E MAIN ST
BRIDGEPORT CT
06608-1914
US

V. Phone/Fax

Practice location:
  • Phone: 919-620-5168
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number18176
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number371628
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: