MEDICARE: SAMANTHA NUGENT FNP

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
1	363L00000X	Nurse Practitioner	APRN03733	RI
2	363LF0000X	Family Nurse Practitioner	RN2287196	MA
3	163W00000X	Registered Nurse	RN2287196	MA

General Provider Information

NPI Number	:	1841737251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA NUGENT FNP

Provider Business Mailing Address
First Line	:	20 BROWNING RD
Second Line	:
City	:	ARLINGTON
State	:	MA
Zip	:	02476-7012
Country	:	US
Telephone Number	:	617-875-3417
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 BROWNING RD
Second Line	:
City	:	ARLINGTON
State	:	MA
Zip	:	02476-7012
Country	:	US
Telephone Number	:	617-875-3417
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2017
Last Update Date	:	01/27/2025

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