Individual provider · Type 1 NPI

Samantha Anne Powderly

Student in an Organized Health Care Education/Training Program · South Weymouth, MA

NPI number 1104740778 Active

Practice location

55 Fogg Rd
South Weymouth, MA 02190-2455

Call (781) 624-8000 Map

Mailing address

22 Eisenhower Dr
Franklin, MA 02038-1199

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104740778

Samantha Anne Powderly's National Provider Identifier is 1104740778, issued on Aug 6, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in South Weymouth, MA. The record was last updated on Aug 6, 2026.