Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SAMANTHA ANNE NICOLELLO, RDH
Active Sole ProprietorSpecialist · MERIDIAN, ID
Registration Details
- NPI Number
- 1124736723
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 11, 2022 (3.4512446309192 yrs)
- Last Updated
- Nov 11, 2022
- Licenses
-
DH-3204 (ID)DH-3204 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4044 N LEGACY WOODS AVEMERIDIAN, ID, 836464480Browse ID providers · Browse ZIP 83646
- Phone
- 2088710760
- Primary Specialty
-
Specialist
174400000X
- Additional Specialty
- Specialist
Other Specialist Providers in MERIDIAN, ID
| Name | Credential | NPI |
|---|---|---|
| DR. ERIC W KLEIN | M.D.,MPH, TM | 1023013109 |
| DR. JOHN STEPHEN FOX | M.D | 1821090762 |
| CHEREE L EVELAND | CST | 1073788337 |
| LONI ELLIS | — | 1780818252 |
| MRS. TAMI SUE LEE | CMT, LMT | 1821486812 |
| CHARITY KRISTIN BERRIER | CMT, ATC, LAT, NTP | 1487005963 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.