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NPI Code Detail

MEDICARE: SAMANTHA MARIE PANTALONE MSN

MEDICARE: SAMANTHA MARIE PANTALONE MSN
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
1363LA2100XAcute Care Nurse Practitioner5017884NC

General Provider Information

NPI Number : 1821706631
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA MARIE PANTALONE MSN
Provider Business Mailing Address
First Line : 2412 GIRVAN DR
Second Line :
City : FUQUAY VARINA
State : NC
Zip : 27526-5555
Country : US
Telephone Number : 847-337-6895
Fax Number :
Provider Business Practice Location Address
First Line : 2301 ERWIN RD
Second Line :
City : DURHAM
State : NC
Zip : 27705-4699
Country : US
Telephone Number : 919-684-8111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2022
Last Update Date : 03/02/2026

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