MRS. MAVIS N TAH SAMA HHA PMHNP-BC NPI 1073855490

NPI Information

  • NPI: 1073855490
  • Provider Name: MRS. MAVIS N TAH SAMA, HHA, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2810 N PARHAM RD STE 120
    RICHMOND, VA
    ZIP 23294
  • Phone: (804) 288-1881

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NPI Details

MRS. Mavis N Tah Sama, HHA, PMHNP-BC is a psychiatric/mental health nurse practitioner in Richmond, VA. MRS. Mavis N Tah Sama, HHA, PMHNP-BC NPI is 1073855490. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2810 N PARHAM RD STE 120
RICHMOND, VA
ZIP 23294-422
Phone: (804) 288-1881

The NPI 1073855490 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 3/24/2013 and was last updated on 9/27/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health0024191310VIRGINIAYes

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: 3/30/2025

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