Individual
SAMANTHA MINDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, ACNPC-AG
Contact information
Practice address
5821 W MAPLE RD STE 190, WEST BLOOMFIELD, MI 48322-2275
(248) 855-0407
(248) 855-1323
Mailing address
5821 W MAPLE RD STE 190, WEST BLOOMFIELD, MI 48322-2275
(248) 855-0407
(248) 855-1323
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704377138
MI
363LG0600X
Gerontology Nurse Practitioner
4704377138
MI
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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