Samantha Nicole Granville, LVN - Licensed Vocational Nurse in Waianae, HI

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.

Contact Information

Samantha Nicole Granville, LVN
87-136 Kulala Pl,
Waianae, HI 96792-3364
(760) 646-6006
Not Available



Provider's Profile

Full NameSamantha Nicole Granville
GenderFemale
SpecialityLicensed Vocational Nurse
Location87-136 Kulala Pl, Waianae, Hawaii
Accepts Medicare AssignmentsDoes 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.
IdentifierTypeStateIssuer
1265839229NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164X00000XLicensed 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 AddressPractice 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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Licensed Vocational Nurse Nurses in Waianae, HI


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