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Individual
SAMANTHA EBERT
Active
Individual
SAMANTHA EBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95214747
CA
363LF0000X
Family Nurse Practitioner
Primary
0024197789
VA
363LF0000X
Family Nurse Practitioner
Primary
STUDENT
VA
Other
Enumeration date
11/05/2021
Last updated
06/16/2026
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