Doctor Name: | MILDRED L SAMPSON |
NPI Number: | 1275925737 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 26NO11168500 |
Business Practice Address: | 1582 Hall Ave Franklinville, NJ - 083223155 |
Business Phone Number: | 8569569419 |
Business Fax Number: | |
Mailing Address: | 1582 Hall Ave, FRANKLINVILLE |
State: | NJ |
Postal Code: | 083223155 |
Phone Number: | 8569569419 |
Fax Number: | |
NPI Enumeration Date: | 02/20/2015 |
NPI Last Update Date: | 02/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 26NO11168500 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |