Individual
SAMANTHA WETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1301 33RD ST S STE 202, SAINT CLOUD, MN 56301-9604
(701) 212-6488
Mailing address
1301 33RD ST S STE 202, SAINT CLOUD, MN 56301-9604
(701) 212-6488
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10543
MN
Other
Enumeration date
08/30/2023
Last updated
01/16/2024
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