MEDICARE: SAMANTHA R LAFLAMME RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN2294399	MA
2	163W00000X	Registered Nurse	074947-21	NH

General Provider Information

NPI Number	:	1033888185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA R LAFLAMME RN

Provider Business Mailing Address
First Line	:	14 MAIN ST
Second Line	:
City	:	SALEM
State	:	NH
Zip	:	03079-1954
Country	:	US
Telephone Number	:	603-893-7051
Fax Number	:	603-893-7052

Provider Business Practice Location Address
First Line	:	14 MAIN ST
Second Line	:
City	:	SALEM
State	:	NH
Zip	:	03079-1954
Country	:	US
Telephone Number	:	603-893-7051
Fax Number	:	603-893-7052

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2021
Last Update Date	:	09/12/2021

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