Individual
SAMANTHA WHITLATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APNP
Contact information
Practice address
2985 TRIVERTON PIKE DR STE 201, FITCHBURG, WI 53711-5803
(608) 238-9991
(888) 608-0841
Mailing address
6499 GINA LN, DEFOREST, WI 53532-2419
(608) 386-9018
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
17082-33
WI
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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