Individual provider · Type 1 NPI
Samantha Wahl, AGNP-C
Gerontology Nurse Practitioner · Sarasota, FL
NPI number
1821883661
Active
Practice location
4001 Swift Rd., Suite 2
Sarasota, FL 34231
Mailing address
PO Box 22331
Sarasota, FL 34276-5331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 11038776 (FL) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1821883661
Samantha Wahl, AGNP-C's National Provider Identifier is 1821883661, issued on Apr 11, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Sarasota, FL. The record was last updated on Apr 11, 2025.