Provider Demographics
NPI:1629800974
Name:HANLEY, SAMANTHA CLAIRE (DNP)
Entity type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:CLAIRE
Last Name:HANLEY
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:MS
Other - First Name:SAMANTHA
Other - Middle Name:CLAIRE
Other - Last Name:QUINN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN
Mailing Address - Street 1:18 AMOS ST
Mailing Address - Street 2:
Mailing Address - City:TEWKSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01876-2902
Mailing Address - Country:US
Mailing Address - Phone:774-437-2882
Mailing Address - Fax:
Practice Address - Street 1:18 AMOS ST
Practice Address - Street 2:
Practice Address - City:TEWKSBURY
Practice Address - State:MA
Practice Address - Zip Code:01876-2902
Practice Address - Country:US
Practice Address - Phone:774-437-2882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2301603163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse