Individual provider · Type 1 NPI

Samantha Wilson, PA-C

Surgical Physician Assistant · Wilkes Barre, PA

NPI number 1124940127 Active

Practice location

575 N River St
Wilkes Barre, PA 18764-0999

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1124940127

Samantha Wilson, PA-C's National Provider Identifier is 1124940127, issued on Jul 29, 2026. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Wilkes Barre, PA. The record was last updated on Jul 29, 2026.