Individual
SAMANTHA T HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1222 N 23RD ST, SHEBOYGAN, WI 53081-3171
(920) 457-6800
(920) 459-1423
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11524
WI
363LF0000X
Family Nurse Practitioner
11524-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100188237
—
WI
Enumeration date
11/05/2021
Last updated
12/23/2025
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