MRS. Heather Marie Samuelsen, LPN
NPI #1780968305 in Mastic Beach, New York
Provider Information
- NPI Number
- 1780968305
- Entity Type
- Individual
- Name
- MRS. Heather Marie Samuelsen, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Sep 30, 2011
- Last Updated
- Sep 30, 2011
Practice Location
- Address
- 46 WASHINGTON AVENUE
- City
- Mastic Beach
- State
- New York
- ZIP Code
- 11951-1915
- Phone
- (631) 772-8310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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