Healthcare Provider Details

I. General information

NPI: 1063334563
Provider Name (Legal Business Name): SAMANTHA ANN DAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2203 CULLUM DR
READING PA
19601-1129
US

IV. Provider business mailing address

2203 CULLUM DR
READING PA
19601-1129
US

V. Phone/Fax

Practice location:
  • Phone: 850-242-2366
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number23988
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: