Individual provider · Type 1 NPI

Samantha Marie McCormack, APN

Family Nurse Practitioner · Montclair, NJ

NPI number 1053188391 Active

Practice location

1 Bay Ave
Montclair, NJ 07042-4837

Mailing address

168 Coeyman Ave
Nutley, NJ 07110-1503

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X26NJ14955300 (NJ)

Family Nurse Practitioner: Definition to come...

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About NPI 1053188391

Samantha Marie McCormack, APN's National Provider Identifier is 1053188391, issued on Dec 6, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Montclair, NJ. The record was last updated on Oct 15, 2024.