Klinkner, Samantha

Klinkner, Samantha is an individual health care provider with primary practice located at 5300 Memorial Dr , Two Rivers WI 54241-3923. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Klinkner, Samantha can be contacted via phone (920) 793-6550.

Contact Information

Primary practice address
5300 Memorial Dr Two Rivers WI 54241-3923
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5840 Wisconsin

Profile Details

NPI number 1942617220
LBN Legal business name Klinkner, Samantha
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2014
Last updated Oct 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942617220 NPPES
Wisconsin MEDICAID 100038971

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