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Samantha Gregory Dagenhardt, RN,MS,MSN,PMHCNS-
Psychiatric/Mental Health Nurse Practitioner in Port Washington, Wisconsin
NPI 1659642841

Samantha Gregory Dagenhardt is a Psychiatric/Mental Health Nurse Practitioner based in Port Washington, WI and is specialized in Psychiatric/Mental Health. Samantha Gregory Dagenhardt practices in Port Washington, WI and has the professional credentials of RN,MS,MSN,PMHCNS-. The NPI Number for Samantha Gregory Dagenhardt is 1659642841 and holds a License No. 4747-33 (Wisconsin).

The current practice location address for Samantha Gregory Dagenhardt is 121 W Main St, Port Washington, WI and can be reached out via phone at 262-284-8157 and via fax at 262-284-8209.

Location: 121 W Main St, Port Washington, WI, 53074-1813
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659642841
Provider Name
Samantha Gregory Dagenhardt
Credential
RN,MS,MSN,PMHCNS-
Provider Entity Type
Individual
Gender
Female
Address
121 W Main St, Port Washington, WI, 53074-1813
Phone Number
262-284-8157
Fax Number
262-284-8209
Provider Enumeration Date
01/19/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
170792-30 01 WI RN
4747-33 01 WI APNP
1659642841 05 WI
100028338 05 WI
institution
Provider Business Practice Location Address Details
Address
121 W Main St
City
Port Washington
State
Wisconsin
Zip
53074-1813
Phone Number
262-284-8157
Fax Number
262-284-8209
person
Provider Business Mailing Address Details
Address
121 W Main St
City
Port Washington
State
Wisconsin
Zip
53074-1813
Phone Number
262-284-8157
Fax Number
262-284-8209
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4747-33 (Wisconsin)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
4747-33 (Wisconsin)
Definition
Definition to come...
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