Individual provider · Type 1 NPI
Samantha Rose Khundmiri, RN, APNP
Family Nurse Practitioner · Greendale, WI
NPI number
1104402361
Active
Practice location
6220 W Loomis Rd
Greendale, WI 53129-2448
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 11302-33 (WI) |
| Registered Nurse | 163W00000X | 230241-30 (WI) |
Family Nurse Practitioner: Definition to come...
7 other providers at this address
- Darin A. Maccoux, MDSports Medicine (Family Medicine) Physician Greendale, WI NPI 1891874764
- Evan N. Meier, DOFamily Medicine Physician Greendale, WI NPI 1629515853
- John David Bivins Ii, MDFamily Medicine Physician Greendale, WI NPI 1841230463
- Kristin Elizabeth Dement, DOFamily Medicine Physician Greendale, WI NPI 1205220233
- Kwaku A. Sarpong, MDFamily Medicine Physician Greendale, WI NPI 1417607110
- Mariska Cornelia Goebel, DNP, APNP, FNP-CNurse Practitioner Greendale, WI NPI 1154933729
- Trang Le, DOFamily Medicine Physician Greendale, WI NPI 1447660188
Other family nurse practitioner providers in Greendale
About NPI 1104402361
Samantha Rose Khundmiri, RN, APNP's National Provider Identifier is 1104402361, issued on Mar 19, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Greendale, WI. The record was last updated on Sep 27, 2021.