Wellformed AI

NPI 1548908908 · live from the CMS NPI Registry

Samantha Anticuar, DNP, APRN, FNP-BC

Nurse Practitioner, Family in Washington, DC. National Provider Identifier 1548908908, active.

NPI record

NPI1548908908 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Family 363LF0000X
Practice location3800 Reservoir Rd Nw, Washington, DC 20007
Practice phone410-772-6500
Mailing address2927 Corinthia Dr, Rochester Hills, MI 48309
EnumeratedMay 25, 2022
Last updatedMay 25, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse163W00000X4704311135 (MI)
Registered Nurse163W00000X0001308278 (VA)
Registered Nurse163W00000XRN200005447 (DC)
Nurse Practitioner, Family363LF0000X0024183523 (VA)
Nurse Practitioner, Family363LF0000X4704311135 (MI)
Nurse Practitioner, Family primary363LF0000XNP200005447 (DC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.