Diane M Samelak in Winston Salem - Pediatrics
Diane M Samelak - NPI 1801872973
Diane M Samelak is a Pediatrics in Winston Salem, North Carolina. Diane M Samelak practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Diane M Samelak is 1801872973. The last update date is 2007-12-27.
Diane M Samelak's current location address is Po Box 344, Winston Salem, North Carolina. You can contact this provider via phone number 3367162255. The mailing address for Diane M Samelak is Po Box 344, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane M Samelak |
|---|---|
| Address | Po Box 344, Winston Salem, North Carolina |
| Phone Number | 3367162255 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1801872973 |
|---|---|
| Provider Enumeration Date | 2005-12-20 |
| Last Updated Date | 2007-12-27 |
Provider Mailing Address Detail
| Address | Po Box 344 |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271020344 |
| Phone Number | 3367162255 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 300150 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7000933 | NC | -- | |
| C4802 | MEDCOST | ||
| 10057680 | VA | -- | |
| 7883693 | AETNA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Diane M Samelak?
The Diane M Samelak has been issued the NPI (National Provider Identifier) 1801872973 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Diane M Samelak's physical address?
The Diane M Samelak is physically located at Po Box 344, in the city of Winston Salem, NC, with the postal code 271020344.
What is Diane M Samelak's area of expertise and its corresponding taxonomy classification?
The Diane M Samelak's field of specialization is Pediatrics, and it falls under the taxonomy code 363Lp0200X, which categorizes healthcare providers based on their areas of practice.
On what date did Diane M Samelak receive its 1801872973 assignment from the Centers for Medicare & Medicaid Services?
The Diane M Samelak was assigned its 1801872973 on 2005-12-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Diane M Samelak most recently updated or revised?
The information pertaining to Diane M Samelak, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-27.
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