Individual
SAMANTHA HURON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA, APRN
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5600
(262) 948-5735
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
11019602
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
15730
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100303527
—
WI
Enumeration date
02/10/2022
Last updated
03/17/2025
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