Samara Dejesus
Licensed Practical Nurse in Stratford, Connecticut
1053952283- Practice location
- 419 Bruce Ave, Stratford, CT 06615-5525
- Phone
- 203-923-4211
- Fax
- —
- Last updated
- September 29, 2019
Samara Dejesus is a Licensed Practical Nurse based in Stratford, CT. Samara Dejesus practices in Stratford, CT. The NPI Number for Samara Dejesus is 1053952283 and holds a License No. 40813 (CT). The current practice location address for Samara Dejesus is 419 Bruce Ave, Stratford, CT 06615-5525 and can be reached out via phone at 203-923-4211.
Provider Profile Details
- NPI Number
- 1053952283
- Provider Name
- Samara Dejesus
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 419 Bruce Ave, Stratford, CT 06615-5525
- Phone Number
- 203-923-4211
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 29, 2019
- Last Update Date
- September 29, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 419 Bruce Ave
Stratford, CT 06615-5525 - City
- Stratford
- State
- Connecticut
- Zip
- 06615-5525
- Phone Number
- 203-923-4211
Provider Business Mailing Address Details
- Address
- 419 Bruce Ave
Stratford, CT 06615-5525 - City
- Stratford
- State
- CT
- Zip
- 06615-5525
- Phone Number
- 203-923-4211
License Information
- License Number
- 40813
- License State
- CT
- Taxonomy
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Samara Dejesus?
The NPI number of Samara Dejesus is 1053952283. It was assigned on September 29, 2019 and is currently active in the NPPES registry.
What is the specialty of Samara Dejesus?
Samara Dejesus is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in CT under license number 40813.
Where does Samara Dejesus practice?
The practice location is 419 Bruce Ave, Stratford, CT 06615-5525. The office can be reached at 203-923-4211 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053952283 directly on the NPPES registry website.