Individual provider · Type 1 NPI

Susan Sample, NP

Psychiatric/Mental Health Nurse Practitioner · Oshkosh, WI

NPI number 1316496565 Active

Practice location

700 N Westhaven Dr
Oshkosh, WI 54904

Fax (920) 456-2025

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X7300-33 (WI)
Nurse Practitioner 363L00000X7300 (WI)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1316496565

Susan Sample, NP's National Provider Identifier is 1316496565, issued on Sep 29, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Oshkosh, WI. The record was last updated on Nov 21, 2025.