Individual
SAMANTHA ZELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
601 5TH ST S, ST PETERSBURG, FL 33701-4804
(727) 767-8181
Mailing address
601 5TH ST S, ST PETERSBURG, FL 33701-4804
(727) 767-8181
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
102358
OK
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11014207
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102358
RN LICENSE
OK
Enumeration date
08/04/2008
Last updated
08/04/2023
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