1487253514 NPI number — MRS. SAMANTHA TONNETTE TOYIN BRAMWELL PHLEBOTOMISTS

Table of content: MRS. SAMANTHA TONNETTE TOYIN BRAMWELL PHLEBOTOMISTS (NPI 1487253514)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487253514 NPI number — MRS. SAMANTHA TONNETTE TOYIN BRAMWELL PHLEBOTOMISTS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BRAMWELL
Provider First Name:
SAMANTHA
Provider Middle Name:
TONNETTE TOYIN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PHLEBOTOMISTS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BRAMWELL
Provider Other First Name:
SAMANTHA
Provider Other Middle Name:
TONNETTE TOYIN
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHLEBOTOMIST
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1487253514
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/20/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1515 NOVEMBER CIR APT 103
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SILVER SPRING
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20904-6947
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
240-494-4706
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1515 NOVEMBER CIR APT 103
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SILVER SPRING
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20904-6947
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
240-517-2858
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/20/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 246RP1900X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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