Individual
SAMANTHA GAIL KATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
2600 65TH AVE, OSCEOLA, WI 54020-4376
(715) 294-2111
Mailing address
22850 HENNA AVE N, FOREST LAKE, MN 55025-8535
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16074-33
WI
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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