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

SAMANTHA M BOCKUS, LPN

Active Sole Proprietor

SAMANTHA M BOCKUS, LPN is a Licensed Practical Nurse healthcare provider located in GRAND ISLE, Vermont. NPI 1770249856 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · GRAND ISLE, VT

Registration Details

NPI Number
1770249856
Provider Type
Individual
Gender
Female
NPI Issued
Nov 12, 2021 (4.725071797508 yrs)
Last Updated
Nov 12, 2021
License
025.0135891 (VT)
Sole Proprietor
Yes

Practice Information

Address
93 REYNOLDS RD
GRAND ISLE, VT, 054582121
Browse VT providers · Browse ZIP 05458
Phone
8023932401
Primary Specialty
Licensed Practical Nurse
164W00000X
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.