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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMANTHA H TAYLOR, RN, LMT, BCTMB

Active Sole Proprietor

SAMANTHA H TAYLOR, RN, LMT, BCTMB is a 163WM1400X healthcare provider located in EAGLE RIVER, Alaska. NPI 1427457365 is currently active in the NPPES registry. Verify at CMS.

163WM1400X · EAGLE RIVER, AK

Registration Details

NPI Number
1427457365
Provider Type
Individual
Gender
Female
NPI Issued
Aug 15, 2014 (12.018704755977 yrs)
Last Updated
Feb 25, 2017
Licenses
NUR R 16194 (AK)
101827 (AK)
Sole Proprietor
Yes

Practice Information

Address
11723 OLD GLENN HWY
SUITE 205
EAGLE RIVER, AK, 995777748
Browse AK providers · Browse ZIP 99577
Phone
9073503510
Primary Specialty
163WM1400X
163WM1400X
Additional Specialty
Massage Therapist
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.