Provider Demographics
NPI:1174412506
Name:OSLOWSKI, SAMANTHA (MSN, RN, AGNP)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:OSLOWSKI
Suffix:
Gender:F
Credentials:MSN, RN, AGNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 GRANT PL UNIT 3
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02124-5506
Mailing Address - Country:US
Mailing Address - Phone:508-963-6383
Mailing Address - Fax:
Practice Address - Street 1:100 BRIGHAM WAY
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:MA
Practice Address - Zip Code:02090-2445
Practice Address - Country:US
Practice Address - Phone:877-937-8128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2303956363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care