Provider Demographics
NPI:1235869983
Name:HYLTON, SAMANTHA D (PMHNP-BC)
Entity Type:Individual
Prefix:MS
First Name:SAMANTHA
Middle Name:D
Last Name:HYLTON
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 PARK RD NW APT 2
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2029
Mailing Address - Country:US
Mailing Address - Phone:202-215-8766
Mailing Address - Fax:
Practice Address - Street 1:1025 PARK RD NW APT 2
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2029
Practice Address - Country:US
Practice Address - Phone:202-215-8766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-15
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC2022006856363LP0808X
DCRN1007093363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health