Samara Dejesus
Licensed Practical Nurse · Stratford, CT
Practice location
419 Bruce AveStratford, CT 06615-5525
- Phone
- (203) 923-4211
NPI record
- NPI
- 1053952283
- Entity type
- Individual (Type 1)
- Enumeration date
- September 29, 2019
- Last updated
- September 29, 2019
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X |
40813 | CT |
About Samara Dejesus
Samara Dejesus is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 419 Bruce Ave, Stratford, CT 06615-5525. The NPI number 1053952283 was assigned on September 29, 2019 and the record was last updated on September 29, 2019.
Samara Dejesus lists a license in the registry: #40813 (CT) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Samara Dejesus?
The NPI number is 1053952283.
What is the phone number of Samara Dejesus?
The phone number listed for the practice location is (203) 923-4211.
Where is Samara Dejesus located?
419 Bruce Ave, Stratford, CT 06615-5525.
What is the taxonomy code for Samara Dejesus?
The primary taxonomy code is 164W00000X – Licensed Practical Nurse.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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