Individual
SAMANTHA DENICOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 N BROADWAY ST, BALTIMORE, MD 21287-0019
(410) 502-6610
Mailing address
401 N BROADWAY ST, BALTIMORE, MD 21287-0019
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R227353
MD
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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