Individual provider · Type 1 NPI
Samantha Wilson, RN
Emergency Registered Nurse · Petersburg, WV
NPI number
1417814559
Active
Practice location
117 Hospital Dr
Petersburg, WV 26847-9566
Mailing address
212 Fawn Rdg
Petersburg, WV 26847-8047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 109266 (WV) |
| Emergency Registered Nurse Primary | 163WE0003X | 109266 (WV) |
Emergency Registered Nurse: Definition to come...
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About NPI 1417814559
Samantha Wilson, RN's National Provider Identifier is 1417814559, issued on Jan 9, 2026. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Petersburg, WV. The record was last updated on Jan 9, 2026.