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NPI Code Detail

MEDICARE: MS. LINDA ANN SAMSON RN

MEDICARE: MS. LINDA ANN SAMSON RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse87357-030WI
2163WG0000XGeneral Practice Registered Nurse87357-030WI

General Provider Information

NPI Number : 1073515219
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA ANN SAMSON RN
Provider Business Mailing Address
First Line : 316 S 4TH ST W
Second Line :
City : FORT ATKINSON
State : WI
Zip : 53538-2110
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 611 SHERMAN AVE E
Second Line :
City : FORT ATKINSON
State : WI
Zip : 53538-1960
Country : US
Telephone Number : 920-568-5000
Fax Number : 920-568-6024
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 09/11/2025

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