| NPI | 1083859482 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2008-12-14 |
| Last Updated | 2019-05-13 |
| Mailing Address | Po Box 63362 Charlotte, NC 28263-3362 United States Phone: (919) 620-4918 | Fax: (919) 620-4921 📍 View Map |
| Primary Practice Address | 234 Crooked Creek Pkwy Durham, NC 27713-8505 United States Phone: (203) 432-0092 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 363AM0700X – Physician Assistant, Medical | NC | 001005699 |
| No | 367A00000X – Advanced Practice Midwife | CT | 2183 |
| Yes | 363AM0700X – Physician Assistant, Medical | NC | 0010-05699 |
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About NPI 1083859482
Samantha Wennerberg PA-C is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1083859482. The primary specialty listed is Physician Assistant, Medical. The provider is located in Durham, NC. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-12-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1083859482?
NPI 1083859482 belongs to Samantha Wennerberg PA-C, a Physician Assistant, Medical in Durham, NC. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1083859482 active?
The current status of NPI 1083859482 in the NPPES registry is Active. The record was last updated on 2019-05-13.
What specialty is NPI 1083859482?
NPI 1083859482 is classified under the taxonomy Physician Assistant, Medical. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1083859482?
You can verify NPI 1083859482 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1083859482?
The primary practice address on file for NPI 1083859482 is 234 Crooked Creek Pkwy, Durham, NC 27713-8505. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1083859482 issued?
NPI 1083859482 was first issued (enumerated) on 2008-12-14. The NPPES record was last updated on 2019-05-13.
Practice Location Map
Samantha Wennerberg is located at 234 Crooked Creek Pkwy, Durham, NC. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Samantha Wennerberg. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1083859482. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Physician Assistant, Medical | 001005699 | NC |
| Advanced Practice Midwife | 2183 | CT |
| Physician Assistant, Medical | 0010-05699 | NC |