Individual
MRS. SAMANTHA ANN WITNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
24 CREE DR, LOCK HAVEN, PA 17745-2639
(570) 321-2850
(570) 321-2851
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP018957
PA
Other
Enumeration date
09/26/2018
Last updated
02/05/2020
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