Hart, Samantha T

Hart, Samantha T is an individual health care provider with primary practice located at 825 Walton Dr , Plymouth WI 53073-5022. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hart, Samantha T can be contacted via phone (920) 892-4322.

Contact Information

Primary practice address
825 Walton Dr Plymouth WI 53073-5022
Phone: (920) 892-4322
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 170962-30 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11524-33 Wisconsin

Profile Details

NPI number 1669137428
LBN Legal business name Hart, Samantha T
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2021
Last updated Apr 22nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669137428 NPPES
Wisconsin MEDICAID 100188237

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