MEDICARE: SAMANTHA BELLINGER A.P.R.N.

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	102016	OK
2	363LF0000X	Family Nurse Practitioner	102016	OK

General Provider Information

NPI Number	:	1275902900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA BELLINGER A.P.R.N.

Provider Business Mailing Address
First Line	:	2832 NW 20TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73107-3104
Country	:	US
Telephone Number	:	405-664-6618
Fax Number	:

Provider Business Practice Location Address
First Line	:	3366 NW EXPRESSWAY STE 660
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4416
Country	:	US
Telephone Number	:	405-917-5439
Fax Number	:	405-949-0849

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

Provider Enumeration Date	:	09/23/2015
Last Update Date	:	02/08/2021

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Directions to “ SAMANTHA BELLINGER A.P.R.N.” Practice Location

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