Individual
DR. WANDA SEXTON SAMAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP, FNP
Contact information
Practice address
300 JOHN ST UNIT 5B, GREER, SC 29651-1463
(864) 990-5664
(864) 990-5674
Mailing address
PO BOX 25472, GREENVILLE, SC 29616-0472
(864) 990-5664
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2159
SC
363LF0000X
Family Nurse Practitioner
RN150441
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2159
SC
Other
Enumeration date
01/09/2007
Last updated
10/11/2023
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