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NPI Code Detail

MEDICARE: SAMANTHA MAIZE CRNP

MEDICARE: SAMANTHA MAIZE CRNP
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 PractitionerSP020903PA

General Provider Information

NPI Number : 1588208714
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA MAIZE CRNP
Provider Business Mailing Address
First Line : 328 COCHRAN RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15228-1232
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 328 COCHRAN RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15228-1232
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2019
Last Update Date : 12/28/2022

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