Individual provider · Type 1 NPI

Samara Marie Williamson, AGNP-C

Gerontology Nurse Practitioner · Chesterfield, MO

NPI number 1285389304 Active

Practice location

15740 S Outer 40 Rd
Chesterfield, MO 63017-2004

Mailing address

17 Marianne Dr
St. Peters, MO 63376-2201

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X2022005952 (MO)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1285389304

Samara Marie Williamson, AGNP-C's National Provider Identifier is 1285389304, issued on Feb 17, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Chesterfield, MO. The record was last updated on Feb 17, 2022.