SAMANTHA TEACH NPI 1366047250

NPI Information

NPI: 1366047250
Provider Name: SAMANTHA TEACH
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
3901 CHRYSLER DR STE 3B
DETROIT, MI
ZIP 48201
Phone: (313) 577-1396
Get Directions

Samantha Teach is a psychiatric/mental health nurse practitioner in Detroit, MI with 2 years of experience. Samantha Teach NPI is 1366047250. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3901 CHRYSLER DR STE 3B
DETROIT, MI
ZIP 48201-167
Phone: (313) 577-1396

The NPI 1366047250 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/1/2020 and was last updated on 4/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	2022064500	MICHIGAN	Yes
2	163W00000X	Registered Nurse		4704348939	MICHIGAN	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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