Individual provider · Type 1 NPI

Keariesha Natalee Addison Samuels

Primary Care Nurse Practitioner · Sacramento, CA

NPI number 1124895958 Active

Practice location

77 Cadillac Dr Ste 200
Sacramento, CA 95825-8337

Fax (916) 457-2667

Mailing address

3375 SW 173rd Way
Miramar, FL 33029-2605

Other practice locations

  • 737 W Childs Ave, Merced, CA 95341-6805 · (209) 906-2917

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X11030106 (FL)
Primary Care Nurse Practitioner Primary 363LP2300X95029249 (CA)

Primary Care Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1124895958

Keariesha Natalee Addison Samuels's National Provider Identifier is 1124895958, issued on Dec 12, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Sacramento, CA. The record was last updated on Aug 12, 2025.