Individual
SAMANTHA WANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 340-5607
Mailing address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0000242733
TN
Other
Enumeration date
03/23/2020
Last updated
08/30/2023
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