Individual
MS. SAMANTHA MARIE EADDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
16155 CARRIAGE LAMP DR APT 602, SOUTHFIELD, MI 48075-3516
(248) 979-0091
Mailing address
16155 CARRIAGE LAMP DR APT 602, SOUTHFIELD, MI 48075-3516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704355724
MI
163WP2201X
Ambulatory Care Registered Nurse
Primary
4704355724
MI
364SR0400X
Rehabilitation Clinical Nurse Specialist
4704355724
MI
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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