Individual provider · Type 1 NPI
Samantha Goutermout, FNP
Family Nurse Practitioner · Hannibal, NY
NPI number
1114657228
Active
Practice location
953 Auburn St
Hannibal, NY 13074-2180
Fax (315) 282-2300
Mailing address
61 Delano St
Pulaski, NY 13142-1400
Other practice locations
- 640 County Route 22, Parish, NY 13131-3339 · (315) 625-5210
- 26 Academy St, Mexico, NY 13114-3010 · (315) 963-8400
- 61 Delano St, Pulaski, NY 13142-1400 · (315) 298-6564
- 510 S 4th St Ste 600, Fulton, NY 13069-2952 · (315) 598-4790
- 1 Buccaneer Blvd, Oswego, NY 13126-1953 · (315) 602-9000
- 124 Salisbury St, Sandy Creek, NY 13145-7706 · (315) 387-3620
- 2 Hinman Rd, Pulaski, NY 13142-2200 · (315) 298-2570
- 4624 Salina St, Pulaski, NY 13142-2102 · (315) 298-2696
- 16 Fravor Rd, Mexico, NY 13114-3011 · (315) 963-8400
- 639 County Route 22, Parish, NY 13131-3339 · (315) 625-5213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 349656 (NY) |
Family Nurse Practitioner: Definition to come...
4 other providers at this address
About NPI 1114657228
Samantha Goutermout, FNP's National Provider Identifier is 1114657228, issued on Jun 13, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hannibal, NY. The record was last updated on Oct 15, 2026.