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NPI Code Detail

MEDICARE: CHRISTINE SAMUEL-NAKAMURA

MEDICARE: CHRISTINE SAMUEL-NAKAMURA
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
1363LF0000XFamily Nurse PractitionerAP2372AZ

General Provider Information

NPI Number : 1346208683
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE SAMUEL-NAKAMURA
Provider Business Mailing Address
First Line : PO BOX 6033
Second Line : S. SAN FRANCISCO & DOME ACCESS BLDG. #41 NAU CAMPUS
City : FLAGSTAFF
State : AZ
Zip : 86011-0001
Country : US
Telephone Number : 928-523-6343
Fax Number : 928-523-4411
Provider Business Practice Location Address
First Line : SOUTH SAN FRANCISCO STREET AND DOME ACCESS
Second Line : BLDG. #41 NORTHERN ARIZONA UNIVERSITY CAMPUS
City : FLAGSTAFF
State : AZ
Zip : 86011-0001
Country : US
Telephone Number : 928-523-6343
Fax Number : 928-523-4411
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 07/08/2007

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Directions to “ CHRISTINE SAMUEL-NAKAMURA ” Practice Location

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