Provider Demographics
NPI:1588835128
Name:HAAPALA, SAMADHI C (LPN)
Entity Type:Individual
Prefix:MS
First Name:SAMADHI
Middle Name:C
Last Name:HAAPALA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:CAROL
Other - Middle Name:HILMA
Other - Last Name:HAAPALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:81 KENDALL HILL RD
Mailing Address - Street 2:
Mailing Address - City:ASHBY
Mailing Address - State:MA
Mailing Address - Zip Code:01431-2118
Mailing Address - Country:US
Mailing Address - Phone:978-386-5391
Mailing Address - Fax:978-386-5391
Practice Address - Street 1:81 KENDALL HILL RD
Practice Address - Street 2:
Practice Address - City:ASHBY
Practice Address - State:MA
Practice Address - Zip Code:01431-2118
Practice Address - Country:US
Practice Address - Phone:978-386-5391
Practice Address - Fax:978-386-5391
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-21
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA30687164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse