Wilson, Samantha

Wilson, Samantha is an individual health care provider with primary practice located at 10521 Rosehaven St Ste Ll100 , Fairfax VA 22030-2877. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Wilson, Samantha can be contacted via phone (703) 281-5000.

Contact Information

Primary practice address
10521 Rosehaven St Ste Ll100 Fairfax VA 22030-2877
Phone: (703) 281-5000
Fax: (703) 255-0765
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X RN1021762 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 0024177383 Virginia

Profile Details

NPI number 1164081915
LBN Legal business name Wilson, Samantha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2019
Last updated Dec 5th, 2023 - about 3 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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