Individual provider · Type 1 NPI

Samantha Gail Kodak, RN, CCRN, SRNA

Critical Care Medicine Registered Nurse · Charleston, SC

NPI number 1831947480 Active

Practice location

151 Rutledge Ave Bldg A
Charleston, SC 29425-8903

Mailing address

79 Sherman Ave
West Islip, NY 11795-3213

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse Primary 163WC0200X818754 (NY)

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

14 other providers at this address

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About NPI 1831947480

Samantha Gail Kodak, RN, CCRN, SRNA's National Provider Identifier is 1831947480, issued on May 8, 2024. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Charleston, SC. The record was last updated on May 8, 2024.