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Dr. Samuel S Wilburn, DNP,AGNP
Adult Health Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1396355327

Samuel S Wilburn is an Adult Health Nurse Practitioner based in Philadelphia, PA and is specialized in Adult Health. Samuel S Wilburn practices in Philadelphia, PA and has the professional credentials of DNP,AGNP. The NPI Number for Samuel S Wilburn is 1396355327 and holds a License No. 309784 (Pennsylvania).

The current practice location address for Samuel S Wilburn is 1348 Bainbridge St, Philadelphia, PA and can be reached out via phone at 215-563-0657.

Location: 1348 Bainbridge St, Philadelphia, PA, 19147-1810
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Provider Profile Details
NPI Number
1396355327
Provider Name
Samuel S Wilburn
Credential
DNP,AGNP
Provider Entity Type
Individual
Gender
Male
Address
1348 Bainbridge St, Philadelphia, PA, 19147-1810
Phone Number
215-563-0657
Fax Number
Provider Enumeration Date
08/04/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SP022592 01 PA PENNSYLVANIA BOARD OF NURSING
309784 01 NY NEW YORK STATE DEPARTMENT OF EDUCATION
institution
Provider Business Practice Location Address Details
Address
1348 Bainbridge St
City
State
Zip
19147-1810
Phone Number
215-563-0657
Fax Number
person
Provider Business Mailing Address Details
Address
1348 Bainbridge St
City
State
Zip
19147-1810
Phone Number
215-563-0657
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
309784 (New York)
Definition
Definition to come...
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