Individual
SAMANTHA BURMEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 735-7645
(920) 735-1331
Mailing address
1525 W LAWRENCE ST, APPLETON, WI 54914-4932
(920) 312-1331
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
243255-30
WI
363L00000X
Nurse Practitioner
Primary
11013
WI
Other
Enumeration date
05/20/2021
Last updated
11/15/2021
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