Individual provider · Type 1 NPI

Nellie Idara Samuel, MSN, APRN, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Macon, GA

NPI number 1821344557 Active

Practice location

2400 Northside Xing
Macon, GA 31210-2252

Mailing address

1011 Post Drive, P O Box 6250
Salinas, CA 93912

Specialties and licenses

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1821344557

Nellie Idara Samuel, MSN, APRN, PMHNP-BC's National Provider Identifier is 1821344557, issued on Jul 31, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Macon, GA. The record was last updated on Dec 28, 2020.