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NPI Code Detail

MEDICARE: MS. SAMANTHA LACE STEFFEY NP

MEDICARE: MS. SAMANTHA LACE STEFFEY NP
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
1363L00000XNurse Practitioner26NJ01436500NJ

General Provider Information

NPI Number : 1881390615
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SAMANTHA LACE STEFFEY NP
Provider Business Mailing Address
First Line : 624 CARROLL FOX RD
Second Line :
City : BRICK
State : NJ
Zip : 08724-4636
Country : US
Telephone Number : 908-331-3895
Fax Number :
Provider Business Practice Location Address
First Line : 58 N MAIN ST
Second Line :
City : MARLBORO
State : NJ
Zip : 07746-1451
Country : US
Telephone Number : 732-719-2001
Fax Number : 732-719-2002
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2023
Last Update Date : 05/16/2024

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