Individual provider · Type 1 NPI

Samantha Marie Dishaw, RN

Registered Nurse · Dickinson Center, NY

NPI number 1417824103 Active

Practice location

1124 County Route 5
Dickinson Center, NY 12930-2809

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X793881 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

About NPI 1417824103

Samantha Marie Dishaw, RN's National Provider Identifier is 1417824103, issued on Oct 20, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Dickinson Center, NY. The record was last updated on Feb 11, 2026.