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Individual
PRINCESS SAMARRA WISE
Active
Individual
PRINCESS SAMARRA WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4704436467
MI
207Q00000X
Family Medicine Physician
A188755
IA
207Q00000X
Family Medicine Physician
Primary
APRN-NP316052
GA
363LF0000X
Family Nurse Practitioner
16765
CT
363LF0000X
Family Nurse Practitioner
4704436467
MI
363LF0000X
Family Nurse Practitioner
A188755
IA
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP316052
GA
363LF0000X
Family Nurse Practitioner
APRN11045465
FL
Other
Enumeration date
02/02/2026
Last updated
03/27/2026
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