Individual provider · Type 1 NPI

Siji Samuel, ANP

Nurse Practitioner · Dallas, TX

NPI number 1801567359 Active

Practice location

411 N Washington Ave Ste 6000
Dallas, TX 75246-1789

Fax (214) 579-6988

Mailing address

1505 Lbj Fwy Ste 700
Dallas, TX 75234-6065

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1029999 (TX)

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…

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About NPI 1801567359

Siji Samuel, ANP's National Provider Identifier is 1801567359, issued on Sep 24, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dallas, TX. The record was last updated on May 7, 2024.