Individual provider · Type 1 NPI

Samantha Wilson

Women's Health Nurse Practitioner · Fairfax, VA

NPI number 1164081915 Active

Practice location

10521 Rosehaven St Ste LL100
Fairfax, VA 22030-2877

Fax (703) 255-0765

Mailing address

8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694

Other practice locations

  • 407 N Washington St Ste 105, Falls Church, VA 22046-3436 · (202) 331-0770
  • 5550 Friendship Blvd Ste 210, Chevy Chase, MD 20815-7201 · (301) 654-5701
  • 1133 21st St NW Ste 200, Washington, DC 20036-3324 · (202) 331-1740

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner 363LW0102XRN1021762 (DC)
Women's Health Nurse Practitioner Primary 363LW0102X0024177383 (VA)

Women's Health Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1164081915

Samantha Wilson's National Provider Identifier is 1164081915, issued on Jun 6, 2019. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Fairfax, VA. The record was last updated on Dec 5, 2023.