Individual provider · Type 1 NPI

Sunil Sam, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Festus, MO

NPI number 1366934176 Active

Practice location

1400 US Highway 61
Festus, MO 63028-4100

Mailing address

136 S Windham Ln
Bloomingdale, IL 60108-2536

Other practice locations

  • 851 E 5th St Ste 154, Washington, MO 63090-3136 · (314) 251-6663
  • 10018 Kennerly Rd, St. Louis, MO 63128-2106 · (314) 251-6663
  • 615 S New Ballas Rd, St. Louis, MO 63141-8221 · (314) 251-6663

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X2025009021 (MO)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X2017037640 (IL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

107 other providers at this address

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About NPI 1366934176

Sunil Sam, PMHNP's National Provider Identifier is 1366934176, issued on Jun 6, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Festus, MO. The record was last updated on Apr 25, 2025.