Individual provider · Type 1 NPI

Samantha Brooke Prentice

Family Nurse Practitioner · Mineola, NY

NPI number 1629902671 Active

Practice location

259 1st St
Mineola, NY 11501-3957

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	360110 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1629902671

Samantha Brooke Prentice's National Provider Identifier is 1629902671, issued on Jun 12, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mineola, NY. The record was last updated on Jun 12, 2026.