Active NPIIndividual provider

Mrs. Grace Samuel, APN

Nurse Practitioner, Family in Eatontown, New Jersey

NPI Number1922344845
Practice location
615 Hope RD, Eatontown, NJ 07724-1277
Fax
732-571-1156
Last updated
June 20, 2013

Grace Samuel is a Nurse Practitioner, Family based in Eatontown, NJ. Grace Samuel practices in Eatontown, NJ and has the professional credentials of APN. The NPI Number for Grace Samuel is 1922344845 and holds a License No. 26NJ00411300 (NJ). The current practice location address for Grace Samuel is 615 Hope RD, Eatontown, NJ 07724-1277 and can be reached out via phone at 732-571-1000 and via fax at 732-571-1156.

Provider Profile Details

NPI Number
1922344845
Provider Name
Grace Samuel
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
615 Hope RD, Eatontown, NJ 07724-1277
Phone Number
732-571-1000
Fax Number
732-571-1156
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
December 20, 2012
Last Update Date
June 20, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
615 Hope RD
Eatontown, NJ 07724-1277
Zip
07724-1277
Phone Number
732-571-1000
Fax Number
732-571-1156
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
44 Concannon Dr
Fords, NJ 08863-1322
City
Fords
State
NJ
Zip
08863-1322
Phone Number
732-710-3314

License Information

License Number
26NJ00411300
License State
NJ
Taxonomy
Nurse Practitioner, Family · 363LF0000X · 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 Mrs. Grace Samuel, APN?

The NPI number of Mrs. Grace Samuel, APN is 1922344845. It was assigned on December 20, 2012 and is currently active in the NPPES registry.

What is the specialty of Mrs. Grace Samuel, APN?

Mrs. Grace Samuel, APN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ00411300.

Where does Mrs. Grace Samuel, APN practice?

The practice location is 615 Hope RD, Eatontown, NJ 07724-1277. The office can be reached at 732-571-1000 (phone) or 732-571-1156 (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 1922344845 directly on the NPPES registry website.

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