Individual
NATHAN SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
77 HERRICK ST, STE 101, BEVERLY, MA 01915-3012
(978) 927-4110
(978) 232-7057
Mailing address
77 HERRICK ST, STE 101, BEVERLY, MA 01915-3012
(978) 927-4110
(978) 232-7057
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP258431
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP9661
BS
MA
Enumeration date
07/28/2006
Last updated
07/08/2007
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