Individual provider · Type 1 NPI
Samantha Jo Prendergast, FNP-BC
Family Nurse Practitioner · Utica, NY
NPI number
1124689963
Active
Practice location
1656 Champlin Ave Ste 406
Utica, NY 13502-4830
Mailing address
1923 Redfield Ave
Utica, NY 13501-2708
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 344571 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1124689963
Samantha Jo Prendergast, FNP-BC's National Provider Identifier is 1124689963, issued on Jun 24, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Utica, NY. The record was last updated on Jun 24, 2019.