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NPI Code Detail

MEDICARE: SAMANTHA M BARRIOS NP

MEDICARE: SAMANTHA M BARRIOS NP
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
1363L00000XNurse Practitioner9763-033WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669082780
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA M BARRIOS NP
Provider Business Mailing Address
First Line : 3301 W FOREST HOME AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-2843
Country : US
Telephone Number : 414-389-2377
Fax Number :
Provider Business Practice Location Address
First Line : 2985 S CHICAGO AVE
Second Line :
City : SOUTH MILWAUKEE
State : WI
Zip : 53172-3133
Country : US
Telephone Number : 414-762-7322
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2020
Last Update Date : 10/13/2023

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