Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA HALEY BACA
ActiveSAMANTHA HALEY BACA is a Family Nurse Practitioner healthcare provider located in PORT JEFFERSON, New York. NPI 1851120463 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · PORT JEFFERSON, NY
Registration Details
- NPI Number
- 1851120463
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 31, 2024 (2.0449305181101 yrs)
- Last Updated
- Dec 7, 2024
- License
-
354678-01 (NY)
Practice Information
- Address
-
125 OAKLAND AVE STE 203PORT JEFFERSON, NY, 117772130Browse NY providers · Browse ZIP 11777
- Phone
- 6319787590
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in PORT JEFFERSON, NY
| Name | Credential | NPI |
|---|---|---|
| THERESA GRIMES | FNP-BC | 1912910910 |
| MARGARET MARY COFFEY | NP | 1376652461 |
| DOMENICA RAPPA | RN, FNP | 1255677480 |
| MARSHEL MARION SINGLETON | RN | 1053710822 |
| MRS. DEANNA AMBER SPENCE | NURSE PRACTITIONER | 1659858744 |
| KATLYN ANN CONVILLE ANTHONY | NP | 1023679503 |
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.