Individual
SAMANTHA WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6030 W OKLAHOMA AVE, MILWAUKEE, WI 53219-4133
(414) 546-2992
(414) 546-2996
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 546-2992
(414) 546-2996
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11181
WI
363LF0000X
Family Nurse Practitioner
Primary
11181
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100180821
—
WI
Enumeration date
08/30/2021
Last updated
10/03/2024
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