Provider Demographics
NPI:1992383715
Name:REECE, SAMANTHA CLAIRE (NP-C)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:CLAIRE
Last Name:REECE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:544 S BEDFORD ST
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19947-1852
Mailing Address - Country:US
Mailing Address - Phone:302-515-3248
Mailing Address - Fax:302-515-3231
Practice Address - Street 1:544 S BEDFORD ST
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-1852
Practice Address - Country:US
Practice Address - Phone:302-515-3232
Practice Address - Fax:302-515-3231
Is Sole Proprietor?:No
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0001450363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily