NPI Code Details Logo

NPI 1598497158

NPI 1598497158 : SAMANTHA SAXE PALAZZI : RALEIGH, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1598497158
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SAMANTHA SAXE PALAZZI
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/30/2022
-----------------------------------------------------
    Last Update Date     |    08/29/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4420 LAKE BOONE TRL 
-----------------------------------------------------
    City                 |    RALEIGH
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    27607-7505
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    919-784-3100
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1211 NIGHTSHADE DR 
-----------------------------------------------------
    City                 |    DURHAM
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    27713-2576
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    919-810-6954
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LA2100X
-----------------------------------------------------
    Taxonomy Name        |    Acute Care Nurse Practitioner
-----------------------------------------------------
    License Number       |    5016464
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.