Individual provider · Type 1 NPI

Samantha Wennerberg, PA-C

Medical Physician Assistant · Durham, NC

NPI number 1083859482 Active

Practice location

234 Crooked Creek Pkwy
Durham, NC 27713-8505

Mailing address

PO Box 63362
Charlotte, NC 28263-3362

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X001005699 (NC)
Advanced Practice Midwife 367A00000X2183 (CT)
Medical Physician Assistant Primary 363AM0700X0010-05699 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1083859482

Samantha Wennerberg, PA-C's National Provider Identifier is 1083859482, issued on Dec 14, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Durham, NC. The record was last updated on May 13, 2019.