Samantha Nicole Granville, LVN is a
Licensed Vocational Nurse based in Waianae, Hawaii. Samantha Nicole Granville is licensed to practice in California (license number 252862) and her current practice location is
87-136 Kulala Pl, Waianae, Hawaii. She can be reached at her office (for appointments etc.) via phone at
(760) 646-6006.
NPI number for Samantha Nicole Granville is 1265839229 and her current mailing address is 87-136 Kulala Pl, Waianae, Hawaii. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265839229.
Provider's Profile
| Full Name | Samantha Nicole Granville |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Vocational Nurse |
|---|
| Location | 87-136 Kulala Pl, Waianae, Hawaii |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265839229
- Provider Enumeration Date: 11/19/2014
- Last Update Date: 11/19/2014
Medical Identifiers
Medical identifiers for Samantha Nicole Granville such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1265839229 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164X00000X | Licensed Vocational Nurse | 252862 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Nicole Granville is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Samantha Nicole Granville, LVN 87-136 Kulala Pl, Waianae, HI 96792-3364 Ph: (760) 646-6006 | Samantha Nicole Granville, LVN 87-136 Kulala Pl, Waianae, HI 96792-3364 Ph: (760) 646-6006 |
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