Individual provider · Type 1 NPI

Tai Marie Samuels, NP

Gerontology Nurse Practitioner · Pasadena, CA

NPI number 1477853091 Active

Practice location

797 S Fair Oaks Ave
Pasadena, CA 91105-2617

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Other practice locations

  • 55 S Raymond Ave Ste 200, Alhambra, CA 91801-7103 · (626) 570-8005

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X20206 (CA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1477853091

Tai Marie Samuels, NP's National Provider Identifier is 1477853091, issued on Oct 29, 2010. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Pasadena, CA. The record was last updated on Jan 19, 2026.