Diane M Samelak
NP | Nurse Practitioner - Pediatrics
Medical Center Blvd, Winston Salem
North Carolina, 27157-0001
336-716-2255
Diane M Samelak is a Winston Salem, North Carolina based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Diane M Samelak is 300150 for Pediatrics in North Carolina. Her current practice location is Medical Center Blvd, Winston Salem. Patients can reach her at 336-716-2255. Diane M Samelak is NP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1801872973.
Diane M Samelak specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Diane M Samelak speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Diane M Samelak |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | NP |
| Practice Address: | Medical Center Blvd, Winston Salem,
North Carolina, 27157-0001 |
| Phone: | 336-716-2255 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1801872973 |
| NPI Enumeration Date: | 20 Dec, 2005 |
| NPI Last Update On: | 27 Dec, 2007 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Diane M Samelak are as mentioned below.
| License Number | Specialization | State | Status | |
| 300150 | Pediatrics | North Carolina | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Diane M Samelak such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 7000933 | Medicaid | North Carolina | |
| C4802 | Other | | MEDCOST |
| 10057680 | Medicaid | Virginia | |
| 7883693 | Other | | AETNA |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Diane M Samelak
Po Box 344,
Winston Salem, North Carolina |
| Zip: | 27102-0344 |
| Phone Number: | 336-716-2255 |
Patients can reach Diane M Samelak at
Medical Center Blvd, Winston Salem, North Carolina or can
call to book an appointment on 336-716-2255.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.