| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SAMANTHA ANN WILSON | 1992411177 | 2024-08-11 |
Samantha Ann Wilson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1992411177. Registration indicates Samantha Ann Wilson is a provider of services with a specialization in Nursing Service Related Providers, Doula (Doula, Nursing Service Related Providers) (Doula, )
| Entity Type | Individual |
| Provider Name | Samantha Ann Wilson |
| Practice Office Address | 455 W IDA ST STAYTON, OR US |
| Practice Office Telephone | 5035592071 |
| Mailing Address | 455 W IDA ST STAYTON, OR 973832225 US |
| Business Telephone | 5035592071 |
| Code | Practice | License No State |
|---|---|---|
| 374J00000X PRIMARY | Nursing Service Related Providers Doula Doula Nursing Service Related Providers Doula |