SAMANTHA DILL CRNP NPI 1629510623

NPI Information

NPI: 1629510623
Provider Name: SAMANTHA DILL, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
6777 W MAPLE RD
WEST BLOOMFIELD, MI
ZIP 48322
Phone: (248) 661-6417
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Samantha Dill, CRNP is a family nurse practitioner in West Bloomfield, MI. Samantha Dill, CRNP NPI is 1629510623. 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:

6777 W MAPLE RD
WEST BLOOMFIELD, MI
ZIP 48322-013
Phone: (248) 661-6417

The NPI 1629510623 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 11/8/2016 and was last updated on 1/31/2024.

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	363LF0000X	Nurse Practitioner	Family	AC002090	MARYLAND	No
2	363LP0200X	Nurse Practitioner	Pediatrics	AC001428	MARYLAND	No
3	363LF0000X	Nurse Practitioner	Family	4704284681	MICHIGAN	Yes
4	363LP0200X	Nurse Practitioner	Pediatrics	0024172146	VIRGINIA	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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