Provider Demographics
NPI:1972103935
Name:SAMPLES, MARGARET RENEE
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:RENEE
Last Name:SAMPLES
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 1:1937 UNDERWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-4227
Mailing Address - Country:US
Mailing Address - Phone:304-544-7322
Mailing Address - Fax:
Practice Address - Street 1:1937 UNDERWOOD AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-4227
Practice Address - Country:US
Practice Address - Phone:304-544-7322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant