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Samantha Wilson
Women's Health Nurse Practitioner in Fairfax, Virginia
NPI 1164081915

Samantha Wilson is a Women's Health Nurse Practitioner based in Fulton, VA and is specialized in Women's Health. Samantha Wilson practices in Fairfax, VA. The NPI Number for Samantha Wilson is 1164081915 and holds a License No. RN1021762 (Virginia).

The current practice location address for Samantha Wilson is 10521 Rosehaven St Ste Ll100, Fairfax, VA and can be reached out via phone at 703-281-5000 and via fax at 703-255-0765.

Location: 10521 Rosehaven St Ste Ll100, Fairfax, VA, 20759-2694
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164081915
Provider Name
Samantha Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
10521 Rosehaven St Ste Ll100, Fairfax, VA, 20759-2694
Phone Number
703-281-5000
Fax Number
703-255-0765
Provider Enumeration Date
06/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10521 Rosehaven St Ste Ll100
City
Fairfax
State
Virginia
Zip
22030-2877
Phone Number
703-281-5000
Fax Number
703-255-0765
person
Provider Business Mailing Address Details
Address
10521 Rosehaven St Ste Ll100
City
Fairfax
State
Virginia
Zip
22030-2877
Phone Number
703-281-5000
Fax Number
703-255-0765
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
363LW0102X
License No.
RN1021762 (District of Columbia)
Definition
Definition to come...
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