Individual provider · Type 1 NPI
Wanda Sexton Samake, DNP, PMHNP, FNP
Psychiatric/Mental Health Nurse Practitioner · Greer, SC
NPI number
1063561876
Active
Practice location
300 John St Unit 5B
Greer, SC 29651-1463
Fax (864) 990-5674
Mailing address
PO Box 25472
Greenville, SC 29616-0472
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN150441 (GA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2159 (SC) |
| Family Nurse Practitioner | 363LF0000X | 2159 (SC) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1063561876
Wanda Sexton Samake, DNP, PMHNP, FNP's National Provider Identifier is 1063561876, issued on Jan 9, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Greer, SC. The record was last updated on Oct 11, 2023.