Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
SAMANTHA SMART
Active
Individual
SAMANTHA SMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173790
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053869271
—
VA
01
—
P01806451
MEDICARE RAILROAD
—
Enumeration date
09/16/2016
Last updated
01/27/2022
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