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NPI Code Detail

MEDICARE: MS. SAMANTHA LOUIS HABECK LE RN

MEDICARE:  MS. SAMANTHA LOUIS HABECK  LE 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
1163WS0121XPlastic Surgery Registered NurseRN743292CA
2174400000XSpecialistL9780CA

General Provider Information

NPI Number : 1366142655
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SAMANTHA LOUIS HABECK LE RN
Provider Business Mailing Address
First Line : 450 SUTTER ST RM 1010
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94108-3912
Country : US
Telephone Number : 415-780-1515
Fax Number : 415-398-7784
Provider Business Practice Location Address
First Line : 450 SUTTER ST RM 1010
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94108-3912
Country : US
Telephone Number : 415-780-1515
Fax Number : 415-398-7784
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2023
Last Update Date : 04/10/2023

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Directions to “ MS. SAMANTHA LOUIS HABECK LE RN” Practice Location

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