MEDICARE: SAMANTHA BROOKS

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	374J00000X	Doula

General Provider Information

NPI Number	:	1306779244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA BROOKS

Provider Business Mailing Address
First Line	:	2978 W LEWIS LOOP
Second Line	:
City	:	CEDAR CITY
State	:	UT
Zip	:	84720-8281
Country	:	US
Telephone Number	:	435-559-9539
Fax Number	:

Provider Business Practice Location Address
First Line	:	2978 W LEWIS LOOP
Second Line	:
City	:	CEDAR CITY
State	:	UT
Zip	:	84720-8281
Country	:	US
Telephone Number	:	435-559-9539
Fax Number	:

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

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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Directions to “ SAMANTHA BROOKS ” Practice Location

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