Individual provider · Type 1 NPI
Samantha Jade Quevedo
Adult Health Nurse Practitioner · Bronx, NY
NPI number
1578283941
Active
Practice location
2015 Grand Concourse
Bronx, NY 10453-4303
Fax (718) 537-6180
Mailing address
2626 Halperin Ave
Bronx, NY 10461-2631
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F310654 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1578283941
Samantha Jade Quevedo's National Provider Identifier is 1578283941, issued on Aug 29, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Bronx, NY. The record was last updated on Apr 14, 2023.