Samantha Rose Khundmiri, RN, APNP

NPI #1104402361 in Greendale, Wisconsin

Provider Information

NPI Number
1104402361
Entity Type
Individual
Name
Samantha Rose Khundmiri, RN, APNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
RN, APNP
Enumeration Date
Mar 19, 2021
Last Updated
Sep 27, 2021

Practice Location

Address
6220 W LOOMIS RD
ZIP Code
53129-2448
Phone
(414) 423-0555

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily
Registered Nurse

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Organizations

Provider Name
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