Active NPIIndividual providerSole proprietor

Samantha M Bockus, LPN

Licensed Practical Nurse in Grand Isle, Vermont

NPI Number1770249856
Practice location
93 Reynolds RD, Grand Isle, VT 05458-2121
Fax
—
Last updated
November 12, 2021

Samantha M Bockus is a Licensed Practical Nurse based in Grand Isle, VT. Samantha M Bockus practices in Grand Isle, VT and has the professional credentials of LPN. The NPI Number for Samantha M Bockus is 1770249856 and holds a License No. 025.0135891 (VT). The current practice location address for Samantha M Bockus is 93 Reynolds RD, Grand Isle, VT 05458-2121 and can be reached out via phone at 802-393-2401.

Provider Profile Details

NPI Number
1770249856
Provider Name
Samantha M Bockus
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
93 Reynolds RD, Grand Isle, VT 05458-2121
Phone Number
802-393-2401
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 12, 2021
Last Update Date
November 12, 2021
Certification Date
November 12, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
93 Reynolds RD
Grand Isle, VT 05458-2121
State
Vermont
Zip
05458-2121
Phone Number
802-393-2401
Grand Isle, VT 05458Get directions →

Provider Business Mailing Address Details

Address
93 Reynolds RD
Grand Isle, VT 05458-2121
City
Grand Isle
State
VT
Zip
05458-2121
Phone Number
802-393-2401

License Information

License Number
025.0135891
License State
VT
Taxonomy
Licensed Practical Nurse · 164W00000X · Primary

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 Samantha M Bockus, LPN?

The NPI number of Samantha M Bockus, LPN is 1770249856. It was assigned on November 12, 2021 and is currently active in the NPPES registry.

What is the specialty of Samantha M Bockus, LPN?

Samantha M Bockus, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in VT under license number 025.0135891.

Where does Samantha M Bockus, LPN practice?

The practice location is 93 Reynolds RD, Grand Isle, VT 05458-2121. The office can be reached at 802-393-2401 (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 1770249856 directly on the NPPES registry website.

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