Individual
SAMANTHA ROSE KOLIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 864-0269
(850) 862-1839
Mailing address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 864-0269
(850) 862-1839
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
157401
CT
163W00000X
Registered Nurse
RN9646206
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
10672
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
233982
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11019228
FL
Other
Enumeration date
03/08/2022
Last updated
07/25/2025
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