Provider Demographics
NPI:1760716369
Name:HAMZE, SAMARA
Entity Type:Individual
Prefix:MS
First Name:SAMARA
Middle Name:
Last Name:HAMZE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1327 RAHR AVE
Mailing Address - Street 2:
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54901-5363
Mailing Address - Country:US
Mailing Address - Phone:920-426-8321
Mailing Address - Fax:920-424-1101
Practice Address - Street 1:1327 RAHR AVE
Practice Address - Street 2:
Practice Address - City:OSHKOSH
Practice Address - State:WI
Practice Address - Zip Code:54901-5363
Practice Address - Country:US
Practice Address - Phone:920-426-8321
Practice Address - Fax:920-424-1101
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula