Individual provider · Type 1 NPI

Samantha Rosa Moore

Nurse Practitioner · Odessa, FL

NPI number 1578430948 Active

Practice location

2320 Gunn Hwy Ste 4
Odessa, FL 33556-4661

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN11038308 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

Other nurse practitioner providers in Odessa

See all in Odessa →

About NPI 1578430948

Samantha Rosa Moore's National Provider Identifier is 1578430948, issued on Oct 21, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Odessa, FL. The record was last updated on Sep 23, 2026.