Individual
KEARIESHA NATALEE ADDISON SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
77 CADILLAC DR STE 200, SACRAMENTO, CA 95825-8337
(916) 569-8484
(916) 457-2667
Mailing address
3375 SW 173RD WAY, MIRAMAR, FL 33029-2605
(786) 267-4646
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11030106
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
95029249
CA
Other
Enumeration date
12/12/2023
Last updated
08/12/2025
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