Mary T Samulevich, APRN
NPI #1013504414 in Springfield, Illinois
Provider Information
- NPI Number
- 1013504414
- Entity Type
- Individual
- Name
- Mary T Samulevich, APRN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- APRN
- Enumeration Date
- Dec 31, 2020
- Last Updated
- Dec 21, 2021
Practice Location
- Address
- 2200 WABASH AVE
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-5352
- Phone
- (217) 528-7541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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