NPI 1376958058

Nadezda Samples, DO

Practitioner General Practice Physician Charleston, WV

Practice location

Address: 3110 Maccorkle Ave SE Rm 58, Charleston, WV 25304-1210
Phone: (304) 388-9947
Mailing address: 10 Mountain Top Cir, South Charleston, WV 25309-9642

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 291755 (NY)

Other General Practice providers in West Virginia →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in West Virginia →

Registry record

NPI: 1376958058
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jun 2014
Record last updated: 20 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.