SAMANTHA MARIE TANTILLO CRNP NPI 1184268567

NPI Information

NPI: 1184268567
Provider Name: SAMANTHA MARIE TANTILLO, CRNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
3 WALNUT ST STE 100
LEMOYNE, PA
ZIP 17043
Phone: (717) 761-4141
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Samantha Marie Tantillo, CRNP is an acute care nurse practitioner in Lemoyne, PA with 5 years of experience. Samantha Marie Tantillo, CRNP NPI is 1184268567. 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:

3 WALNUT ST STE 100
LEMOYNE, PA
ZIP 17043-168
Phone: (717) 761-4141

The NPI 1184268567 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 10/29/2019 and was last updated on 6/6/2022.

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	363LA2100X	Nurse Practitioner	Acute Care	SP021058	PENNSYLVANIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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