Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA ROSE KHUNDMIRI, RN, APNP
ActiveSAMANTHA ROSE KHUNDMIRI, RN, APNP is a Family Nurse Practitioner healthcare provider located in GREENDALE, Wisconsin. NPI 1104402361 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · GREENDALE, WI
Registration Details
- NPI Number
- 1104402361
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 19, 2021 (5.4043028645891 yrs)
- Last Updated
- Sep 27, 2021
- Licenses
-
11302-33 (WI)230241-30 (WI)
Practice Information
- Address
-
6220 W LOOMIS RDGREENDALE, WI, 531292448Browse WI providers · Browse ZIP 53129
- Phone
- 4144230555
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Registered Nurse
Other Family Nurse Practitioner Providers in GREENDALE, WI
| Name | Credential | NPI |
|---|---|---|
| COLLEEN FRALEY | APNP | 1861849820 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.