Individual
MRS. SAMANTHA WESTERVELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1350 HICKORY ST STE 101, MELBOURNE, FL 32901-3224
(321) 434-3644
(321) 434-3438
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-3644
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11018646
FL
363LF0000X
Family Nurse Practitioner
11018646
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114116700
—
FL
01
—
O9617
HF MA
FL
Enumeration date
03/29/2022
Last updated
11/03/2023
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