Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samantha Reynolds

Individual provider Licensed Practical Nurse · NPI 1417478058

Samantha Reynolds is a Licensed Practical Nurse in Clayton, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2017
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Practice location Address checks out

119D Joseph Lonsway Dr
Clayton, NY 13624-9579
Phone: (315) 408-6479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 308153 (NY)

Record details

NPI number1417478058
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 5, 2017
Last updated in NPPESJuly 5, 2017

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