Samantha Anne Powderly
Student in an Organized Health Care Education/Training Program in South Weymouth, MA. Individual provider (NPI-1).
NPI number1104740778
StatusActive
Last updated in NPPESAug 6, 2026
Details
- NPI
- 1104740778
- Entity type
- Individual (NPI-1)
- Name
- Samantha Anne Powderly
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 6, 2026
- Certification date
- Aug 6, 2026
- Last updated
- Aug 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
55 Fogg RdSouth Weymouth, MA 02190-2455
Phone 781-624-8000
Mailing address
22 Eisenhower DrFranklin, MA 02038-1199
Phone 508-918-9760
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All 81 Student in an Organized Health Care Education/Training Program providers in South Weymouth · All 528 providers in South Weymouth
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