Individual
SAMANTHA WINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
1261 OLIVER ST, FAYETTEVILLE, NC 28304-4450
(910) 323-1626
(919) 827-0152
Mailing address
1261 OLIVER ST, FAYETTEVILLE, NC 28304-4450
(910) 323-1626
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5013400
NC
Other
Enumeration date
08/10/2020
Last updated
06/30/2023
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