Wennerberg, Samantha

Wennerberg, Samantha is an individual health care provider with primary practice located at 234 Crooked Creek Pkwy , Durham NC 27713-8505. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Wennerberg, Samantha can be contacted via phone (203) 432-0092.

Contact Information

Primary practice address
234 Crooked Creek Pkwy Durham NC 27713-8505
Phone: (203) 432-0092
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001005699 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 2183 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0010-05699 North Carolina

Profile Details

NPI number 1083859482
LBN Legal business name Wennerberg, Samantha
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2008
Last updated May 13th, 2019 - about 5 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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