Individual
CHRISTINA MAHER SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-RN
Contact information
Practice address
751 S BASCOM AVE STE 540, SAN JOSE, CA 95128-2604
(402) 885-4362
Mailing address
751 S BASCOM AVE STE 540, SAN JOSE, CA 95128-2699
(408) 885-4362
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20160
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730147372
—
CA
05
—
RN6985560
—
CA
Enumeration date
07/19/2011
Last updated
08/01/2019
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