Healthcare Provider Details

I. General information

NPI: 1649649179
Provider Name (Legal Business Name): SAMANTHA DANKS PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2015
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3521 SILVERSIDE RD STE 2F1
WILMINGTON DE
19810-4900
US

IV. Provider business mailing address

3521 SILVERSIDE RD STE 2F1
WILMINGTON DE
19810-4900
US

V. Phone/Fax

Practice location:
  • Phone: 833-815-2187
  • Fax: 302-224-1402
Mailing address:
  • Phone: 833-815-2187
  • Fax: 302-224-1402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberL8-0011182
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1000896
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: