Individual
SAMANTHA JO NAMLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
800 WHEELING AVE, GLEN DALE, WV 26038-1660
(304) 845-3211
Mailing address
632 COOPER LN, PROCTOR, WV 26055-1375
(304) 280-1767
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
114666
WV
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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