Individual provider · Type 1 NPI

Samantha Rose Heck Bogumil, RN

Critical Care Medicine Registered Nurse · Charlotte, NC

NPI number 1669390159 Active

Practice location

10628 Park Rd
Charlotte, NC 28210-8407

Call (704) 667-2000 Map

Specialties and licenses

Taxonomy	Code	License
Critical Care Medicine Registered Nurse Primary	163WC0200X	253967 (SC)

Critical Care Medicine Registered Nurse: Definition to come...

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About NPI 1669390159

Samantha Rose Heck Bogumil, RN's National Provider Identifier is 1669390159, issued on Jul 9, 2026. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Charlotte, NC. The record was last updated on Jul 9, 2026.