Individual provider · Type 1 NPI
Lisa T. Samanta
Pediatric Nurse Practitioner · Washington, DC
NPI number
1851532725
Active
Practice location
111 Michigan Ave NW
Washington, DC 20010-2916
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 041.365004 (IL) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN1015861 (DC) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1851532725
Lisa T. Samanta's National Provider Identifier is 1851532725, issued on Mar 23, 2009. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Washington, DC. The record was last updated on Sep 12, 2014.