Individual provider · Type 1 NPI

Samantha Ann Grant, LPN

Licensed Practical Nurse · Medford, NY

NPI number 1417126558 Active

Practice location

55 Rustic Ave
Medford, NY 11763-4400

Call (631) 235-6924 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X275599 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1417126558

Samantha Ann Grant, LPN's National Provider Identifier is 1417126558, issued on Feb 22, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Medford, NY. The record was last updated on Jan 7, 2026.