Active NPIIndividual provider

Suanne Samardge

Nurse Practitioner, Family in Cromwell, Connecticut

NPI Number1083495378
Practice location
160 West St Ste G, Cromwell, CT 06416-2441
Fax
860-413-0891
Last updated
October 20, 2026

Suanne Samardge is a Nurse Practitioner, Family based in Cromwell, CT. Suanne Samardge practices in Cromwell, CT. The NPI Number for Suanne Samardge is 1083495378 and holds a License No. 12494 (CT). The current practice location address for Suanne Samardge is 160 West St Ste G, Cromwell, CT 06416-2441 and can be reached out via phone at 860-604-7438 and via fax at 860-413-0891.

Provider Profile Details

NPI Number
1083495378
Provider Name
Suanne Samardge
Provider Entity Type
Individual
Gender
Female
Address
160 West St Ste G, Cromwell, CT 06416-2441
Phone Number
860-604-7438
Fax Number
860-413-0891
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
October 11, 2023
Last Update Date
October 20, 2026
Certification Date
October 20, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
160 West St Ste G
Cromwell, CT 06416-2441
Zip
06416-2441
Phone Number
860-604-7438
Fax Number
860-413-0891
Cromwell, CT 06416Get directions →

Provider Business Mailing Address Details

Address
160 West St Ste G
Cromwell, CT 06416-2441
City
Cromwell
State
CT
Zip
06416-2441
Phone Number
860-604-7438
Fax Number
860-413-0891

License Information

License Number (1)
12494
License State (1)
CT
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (2)
12494
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Primary Care · 363LP2300X

Legacy Identifiers

IdentifierTypeStateIssuer
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 Suanne Samardge?

The NPI number of Suanne Samardge is 1083495378. It was assigned on October 11, 2023 and is currently active in the NPPES registry.

What is the specialty of Suanne Samardge?

Suanne Samardge is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 12494.

Where does Suanne Samardge practice?

The practice location is 160 West St Ste G, Cromwell, CT 06416-2441. The office can be reached at 860-604-7438 (phone) or 860-413-0891 (fax).

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 1083495378 directly on the NPPES registry website.

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