SAMANTHA WILSON NPI 1164081915

NPI Information

Samantha Wilson is a women's health nurse practitioner in Fairfax, VA with 6 years of experience. Samantha Wilson NPI is 1164081915. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2018

The provider's business location address is:

10521 ROSEHAVEN ST STE LL100
FAIRFAX, VA
ZIP 22030-877
Phone: (703) 281-5000
Fax: (703) 255-0765

The NPI 1164081915 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/6/2019 and was last updated on 12/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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