Dr. Samantha Mraz
Nurse Practitioner - Psychiatric/Mental Health
46 Albion St
Bridgeport
, Connecticut 06605-2602
Dr. Samantha Mraz
Nurse Practitioner - Psychiatric/Mental Health
46 Albion St
Bridgeport
, Connecticut 06605-2602
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Dr. Samantha Mraz
- 70 Ripton Rd
- Shelton, CT
- Zip : 06484-2668
- Phone :
Second Address
- Dr. Samantha Mraz
- 46 Albion St
- Bridgeport, CT
- Zip : 06605-2602
- Phone : (203) 332-3584
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Is Dr. Samantha Mraz a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 7903 | CT |
National Provider Identifier
| NPI | 1013484088 |
|---|---|
| Provider Name | Dr. Samantha Mraz |
| First Address | Shelton, CT 06484-2668 |
| Second Address | Bridgeport, CT 06605-2602 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/10/2018 |
| Last Update Date | 29/10/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.