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NPI Code Detail

MEDICARE: SAMEERAH TAMIKAH ELDER LPN, PC ADMIN

MEDICARE:   SAMEERAH TAMIKAH ELDER  LPN, PC ADMIN
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
1343900000XNon-emergency Medical Transport (VAN)27990816PA

General Provider Information

NPI Number : 1447181771
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMEERAH TAMIKAH ELDER LPN, PC ADMIN
Provider Business Mailing Address
First Line : 4625 HENRY ST
Second Line :
City : EASTON
State : PA
Zip : 18045-4820
Country : US
Telephone Number : 484-627-1906
Fax Number :
Provider Business Practice Location Address
First Line : 4625 HENRY ST
Second Line :
City : EASTON
State : PA
Zip : 18045-4820
Country : US
Telephone Number : 484-627-1906
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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Directions to “ SAMEERAH TAMIKAH ELDER LPN, PC ADMIN” Practice Location

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