GEORGETTE A SAMPSON


Address: 77 Landau St, Boynton Beach, FL 33426-8434
Phone: 5617074894

GEORGETTE A SAMPSON (NPI# 1679934921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679934921
Entity Type Individual
Full Name GEORGETTE A SAMPSON
Credential ARNP
Practice Address 77 Landau St
Boynton Beach
FL 33426-8434
Practice Telephone 5617074894
Mailing Telephone 5617074894
Enumeration Date 2016-03-15
Last Update Date 2019-01-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 302R00000X Health Maintenance Organization Managed Care Organizations
N 363L00000X Nurse Practitioner ARNP9236286 FL Physician Assistants & Advanced Practice Nursing Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
ARNP9236286 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 77 LANDAU ST
City BOYNTON BEACH
State FL
Zip Code 33426-8434

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982089496 Holy Cross Hospital General Acute Care Hospital 77 Landau St, Boynton Beach, FL 33426-8434 2015-07-26

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City BOYNTON BEACH
Zip Code 33426

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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