Individual
LOLETA C SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
195 LITTLE ALBANY ST, NEW BRUNSWICK, NJ 08901-1914
(732) 235-2465
(732) 235-7355
Mailing address
50 S B B KING BLVD, MEMPHIS, TN 38103-2626
(901) 436-1381
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NN108625
NJ
363L00000X
Nurse Practitioner
26NN108625
NJ
363L00000X
Nurse Practitioner
Primary
26NN10862500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8429502
—
NJ
Enumeration date
10/26/2006
Last updated
05/17/2022
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