Individual provider · Type 1 NPI
Samantha Wild, APRN FNP-C
Family Nurse Practitioner · San Antonio, TX
NPI number
1750734265
Active
Practice location
5282 Medical Drive # 206, Paragon San Antonio Infusion Center
San Antonio, TX 78229
Fax (210) 366-4896
Mailing address
23218 Bison Cyn
San Antonio, TX 78261-2673
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP131123 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1750734265
Samantha Wild, APRN FNP-C's National Provider Identifier is 1750734265, issued on Jul 20, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Antonio, TX. The record was last updated on Jul 20, 2016.