Individual
SAMANTHA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
RN
Contact information
Practice address
117 HOSPITAL DR, PETERSBURG, WV 26847-9566
(304) 257-1026
Mailing address
212 FAWN RDG, PETERSBURG, WV 26847-8047
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
109266
WV
163WG0000X
General Practice Registered Nurse
109266
WV
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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