Individual
SAMANTHA KLINKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2219 GARFIELD ST, TWO RIVERS, WI 54241-2416
(920) 793-7300
(920) 794-7553
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5840
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100038971
—
WI
Enumeration date
07/17/2014
Last updated
11/05/2024
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