Individual
SAMANTHA RAE NIBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
800 WHEELING AVE, GLEN DALE, WV 26038-1660
(048) 453-2113
Mailing address
164 RIDGEVIEW ESTATES ROAD, CHAPMANVILLE, WV 25508
(304) 640-5070
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4409
WV
207V00000X
Obstetrics & Gynecology Physician
OS22132
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2020
Last updated
04/03/2026
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