Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA NIKOLE GUDMUNSON, RN
Active Sole ProprietorSAMANTHA NIKOLE GUDMUNSON, RN is a Child & Adolescent Psychiatric Nurse healthcare provider located in DEKALB, Illinois. NPI 1619590981 is currently active in the NPPES registry. Verify at CMS.
Child & Adolescent Psychiatric Nurse · DEKALB, IL
Registration Details
- NPI Number
- 1619590981
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 21, 2020 (6.2149549156229 yrs)
- Last Updated
- May 21, 2020
- License
-
041.411473 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12 HEALTH SERVICES DRDEKALB, IL, 601159637Browse IL providers · Browse ZIP 60115
- Phone
- 8157564875
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
Other Child & Adolescent Psychiatric Nurse Providers in DEKALB, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. MICHELLE TALLEY | RN | 1114168630 |
| REBECCA SUE TEJUMOLA | RN, BSN | 1265921415 |
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.