Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 5005985 | NC |
N | 363LG0600X | Nurse Practitioner - Gerontology | 5005985 | NC |
NPI | 1063758175 |
---|---|
Provider Name | Samantha Delores Schweitzer |
First Address | Raleigh, NC 27615-7033 |
Second Address | Raleigh, NC 27609-7376 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2012 |
Last Update Date | 24/02/2021 |