Provider Demographics
NPI:1881390615
Name:STEFFEY, SAMANTHA LACE (NP)
Entity type:Individual
Prefix:MS
First Name:SAMANTHA
Middle Name:LACE
Last Name:STEFFEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:624 CARROLL FOX RD
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-4636
Mailing Address - Country:US
Mailing Address - Phone:908-331-3895
Mailing Address - Fax:
Practice Address - Street 1:58 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-1451
Practice Address - Country:US
Practice Address - Phone:732-719-2001
Practice Address - Fax:732-719-2002
Is Sole Proprietor?:No
Enumeration Date:2023-02-02
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01436500363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner