Individual provider · Type 1 NPI
Samantha Jo Roelse, DNP
Family Nurse Practitioner · Milwaukee, WI
NPI number
1689357394
Active
Practice location
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Fax (414) 805-6565
Other practice locations
- W129N7055 Northfield Dr, Menomonee Falls, WI 53051-0538 · (262) 253-5400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 256587 (WI) |
| Family Nurse Practitioner Primary | 363LF0000X | 14644 (WI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1689357394
Samantha Jo Roelse, DNP's National Provider Identifier is 1689357394, issued on Aug 9, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Milwaukee, WI. The record was last updated on Oct 23, 2023.