Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA WILSON
ActiveWomen's Health Nurse Practitioner · FAIRFAX, VA
Registration Details
- NPI Number
- 1164081915
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 6, 2019 (6.8788235616319 yrs)
- Last Updated
- Dec 5, 2023
- Licenses
-
RN1021762 (DC)0024177383 (VA)
Practice Information
- Address
-
10521 ROSEHAVEN ST STE LL100FAIRFAX, VA, 220302877Browse VA providers · Browse ZIP 22030
- Phone
- 7032815000
- Fax
- 7032550765
- Primary Specialty
-
Women's Health Nurse Practitioner
363LW0102X
- Additional Specialty
- Women's Health Nurse Practitioner
Other Women's Health Nurse Practitioner Providers in FAIRFAX, VA
| Name | Credential | NPI |
|---|---|---|
| MRS. CAROLA (NONE) BRUFLAT | RNC, MSN, WHNP | 1053580597 |
| SUSAN WOOD ROOHR | NP | 1235462946 |
| JESSICA PADILLA | N.P. | 1164812723 |
| MOLLY BOYER BROACHE | W.H.N.P. | 1487194262 |
| MRS. MICHELLE KELLY FUNK | WHNP-BC | 1588259501 |
| LAURA BROTT | — | 1083385967 |
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.