# BASIRU SAMBA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1548636269
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | R159377 | MD | — |
| 163WA2000X | Administrator Registered Nurse | R155931 | MD | — |
| 164W00000X | Licensed Practical Nurse | LP34564 | MD | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 174400000X | Specialist | — | — | — |
| 246Y00000X | Health Information Specialist/Technologist | — | — | — |
| 247200000X | Other Technician | — | — | — |
| 372500000X | Chore Provider | — | — | — |
| 372600000X | Adult Companion | — | — | — |
| 3747A0650X | Attendant Care Provider | — | — | — |
| 374U00000X | Home Health Aide | — | — | — |
| 376G00000X | Nursing Home Administrator | — | — | — |
| 376J00000X | Homemaker | — | — | — |
| 376K00000X | Nurse's Aide | — | — | — |

## Other

- **Enumeration date:** 08/17/2015
- **Last updated:** 08/17/2015
