Individual
MRS. DESIREE ELIZABETH SAMPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, FNP-BC
Contact information
Practice address
2106 MORTHLAND DR, SUITE 1084, VALPARAISO, IN 46383-5914
(219) 228-1972
(814) 292-9196
Mailing address
2106 MORTHLAND DR, VALPARAISO, IN 46383-5914
(317) 979-0733
(814) 292-9196
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0002282
CO
363L00000X
Nurse Practitioner
0004318
CO
363L00000X
Nurse Practitioner
041581213
IL
363L00000X
Nurse Practitioner
309023320
IL
363LF0000X
Family Nurse Practitioner
28164959A
IN
363LF0000X
Family Nurse Practitioner
Primary
71003904A
IN
Other
Enumeration date
04/26/2012
Last updated
02/16/2026
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