Individual
SAMANTHA LYNN WETOSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
503 MAPLE ST, LESLIE, MI 49251-9451
(517) 507-2312
Mailing address
503 MAPLE ST, LESLIE, MI 49251-9451
(517) 507-2312
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
4704292004
MI
363L00000X
Nurse Practitioner
Primary
4704292004NSA180VX
MI
Other
Enumeration date
09/04/2018
Last updated
09/11/2024
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