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NPI Code Detail

MEDICARE: MRS. SAMANTHA HEATHER PRZYBYLSKI

MEDICARE:  MRS. SAMANTHA HEATHER PRZYBYLSKI
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
1363LP2300XPrimary Care Nurse Practitioner843001NV
2363LX0106XOccupational Health Nurse Practitioner843001NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245984673
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SAMANTHA HEATHER PRZYBYLSKI
Provider Business Mailing Address
First Line : 3036 QUIET CREEK AVE
Second Line :
City : HENDERSON
State : NV
Zip : 89044-1604
Country : US
Telephone Number : 847-450-3994
Fax Number :
Provider Business Practice Location Address
First Line : 2080 E FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5164
Country : US
Telephone Number : 702-330-0345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2022
Last Update Date : 12/08/2022

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Directions to “ MRS. SAMANTHA HEATHER PRZYBYLSKI ” Practice Location

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