Individual provider · Type 1 NPI

Mary T. Samulevich, APRN

Family Nurse Practitioner · Springfield, IL

NPI number 1013504414 Active

Practice location

2200 Wabash Ave
Springfield, IL 62704-5352

Fax (217) 787-7104

Mailing address

1025 S 6th St
Springfield, IL 62703-2499

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209020043 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1013504414

Mary T. Samulevich, APRN's National Provider Identifier is 1013504414, issued on Dec 31, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Springfield, IL. The record was last updated on Dec 21, 2021.