Individual provider · Type 1 NPI
Shiney Sam
Acute Care Nurse Practitioner · Bethesda, MD
NPI number
1770867905
Active
Practice location
8901 Wisconsin Ave
Bethesda, MD 20889-0004
Mailing address
9710 Frederick Rd
Ellicott City, MD 21042-3714
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | R165191 (MD) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1770867905
Shiney Sam's National Provider Identifier is 1770867905, issued on Oct 6, 2011. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Bethesda, MD. The record was last updated on Oct 25, 2023.