| Doctor Name: | ORENA SAM |
| NPI Number: | 1356637664 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, BSN |
| License Number: | RN127921 |
| Business Practice Address: | Corner Of Route N12 & N7 Fort Defiance, AZ - 865040649 |
| Business Phone Number: | 9287298000 |
| Business Fax Number: | |
| Mailing Address: | Po Box 649, FORT DEFIANCE |
| State: | AZ |
| Postal Code: | 865040649 |
| Phone Number: | 9287298000 |
| Fax Number: | |
| NPI Enumeration Date: | 06/24/2011 |
| NPI Last Update Date: | 06/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | RN127921 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |