Tseday Samuel in Lawrenceville - Nurse Practitioner

Tseday Samuel - NPI 1528132636

Tseday Samuel is a Nurse Practitioner in Lawrenceville, Georgia. Tseday Samuel practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Tseday Samuel is 1528132636. The last update date is 2023-05-09.

Tseday Samuel's current location address is 631 Professional Dr, Lawrenceville, Georgia. You can contact this provider via phone number 7709624895 and fax number 7709624792. The mailing address for Tseday Samuel is 631 Professional Dr, Lawrenceville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Tseday Samuel
Address 631 Professional Dr, Lawrenceville, Georgia
Phone Number 7709624895
Fax Number 7709624792
Sole Proprietor N
Credentials ACNP-C

NPI Number Detail

NPI Number 1528132636
Provider Enumeration Date 2006-11-20
Last Updated Date 2023-05-09

Provider Mailing Address Detail

Address 631 Professional Dr
City Lawrenceville
State Georgia (GA)
Post Code 300463367
Phone Number 7709624895
Fax Number 7709624792

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No RN172768NP
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
923160586A GA --

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FAQs about Tseday Samuel

What is the unique 10-digit identifier code issued to Tseday Samuel by the Centers for Medicare & Medicaid Services?

The Tseday Samuel has been assigned the NPI (National Provider Identifier) 1528132636 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Tseday Samuel's facilities are geographically located?

The facilities of Tseday Samuel are physically situated at the following location: 631 Professional Dr, Lawrenceville, GA, 300463367.

What is the area of specialization for Tseday Samuel, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Tseday Samuel is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1528132636 to Tseday Samuel?

The Centers for Medicare & Medicaid Services assigned the 1528132636 to Tseday Samuel on 2006-11-20.

As of what date was the information regarding Tseday Samuel, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Tseday Samuel, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-05-09.

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