Individual
SAMANTHA ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1855 S KOELLER ST, OSHKOSH, WI 54902-6186
(920) 223-7075
Mailing address
1855 S KOELLER ST, OSHKOSH, WI 54902-6186
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5990-33
WI
Other
Enumeration date
09/08/2014
Last updated
04/09/2016
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