Samantha Moline, RN
Registered Nurse in Fayetteville, NC. Individual provider (NPI-1).
NPI number1124669809
StatusActive
Last updated in NPPESOct 3, 2019
Details
- NPI
- 1124669809
- Entity type
- Individual (NPI-1)
- Name
- Samantha Moline
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2019
- Last updated
- Oct 3, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 255606 | NC | Yes |
Practice location
3427 Melrose RdFayetteville, NC 28304-1608
Phone 910-864-8739 · Fax 910-864-8222
Mailing address
1911 Calista CirFayetteville, NC 28304-4737
Phone 773-537-8581
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 67 Registered Nurse providers in Fayetteville · All 9,765 providers in Fayetteville
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