Individual provider · Type 1 NPI

Samantha Shoshana Petrillo, AGACNP-BC

Adult Health Nurse Practitioner · Fort Lauderdale, FL

NPI number 1003782228 Active

Practice location

1601 S Andrews Ave Fl 3
Fort Lauderdale, FL 33316-2509

Fax (954) 763-6799

Mailing address

1608 SE 3rd Ave Fl 3
Fort Lauderdale, FL 33316-2564

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X11042570 (FL)
Adult Health Nurse Practitioner Primary 363LA2200XAPRN11042570 (FL)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1003782228

Samantha Shoshana Petrillo, AGACNP-BC's National Provider Identifier is 1003782228, issued on Oct 14, 2025. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jan 26, 2026.