NPI Registry.org

Samantha Wallace

NPI Registration Record

Provider / OrganizationNPIDate Certified
SAMANTHA WALLACE18812932722020-10-18

Samantha Wallace is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1881293272. Registration indicates Samantha Wallace is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )

Entity TypeIndividual
Provider Name Samantha Wallace APRN, FNP-C
Practice Office Address7625 VOICE OF AMERICA CENTRE DR # 41
WEST CHESTER, OH US
Practice Office Telephone5136444394
Mailing Address7625 VOICE OF AMERICA CENTRE DR # 41
WEST CHESTER, OH 450692795 US
HPT Codes
CodePractice
License No
State
363LF0000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Nurse PractitionerAccess to Pediatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Nurse Practitioner: Family

All Other Specialties & Provider Types

Nurse Practitioner Family
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
APRN.CNP.002739
OH
OPI Codes
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