Individual
DIONDRA MAXINE SAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
385 W MAIN ST, EL CENTRO, CA 92243-3040
(760) 482-5000
(760) 337-5400
Mailing address
4925 E DESERT COVE AVE UNIT 159, SCOTTSDALE, AZ 85254-5399
(347) 430-0088
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN199201
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95035510
CA
Other
Enumeration date
04/01/2021
Last updated
02/23/2026
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