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NPI Code Detail

MEDICARE: CHANDRA COOPER-SAMUELS

MEDICARE:   CHANDRA  COOPER-SAMUELS
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 Practitioner95004183CA
2363LF0000XFamily Nurse PractitionerRN136292GA

General Provider Information

NPI Number : 1932510609
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANDRA COOPER-SAMUELS
Provider Business Mailing Address
First Line : 200 GALLERIA PARKWAY
Second Line :
City : ATLANTA
State : GAS
Zip : 30339
Country : UM
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 808 OAK AVE
Second Line :
City : SALINAS
State : CA
Zip : 93901-2952
Country : US
Telephone Number : 831-757-8689
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2014
Last Update Date : 04/08/2026

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Directions to “ CHANDRA COOPER-SAMUELS ” Practice Location

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