Individual provider · Type 1 NPI
Rose Marie Samuel
Medical-Surgical Registered Nurse · Gallup, NM
NPI number
1073096582
Active
Practice location
Gallup Indian Medical Center, 516 East Nizhoni Blvd
Gallup, NM 87305
Mailing address
370 Nth 9th Street
Lebanon, PA 17046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse Primary | 163WM0705X | 660697 (PA) |
Medical-Surgical Registered Nurse: Definition to come...
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About NPI 1073096582
Rose Marie Samuel's National Provider Identifier is 1073096582, issued on Sep 11, 2018. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Gallup, NM. The record was last updated on Sep 11, 2018.