Provider Demographics
NPI:1003396367
Name:HUSSNATTER, SAMANTHA M (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:M
Last Name:HUSSNATTER
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:4000 NEXUS DR STE NWG -250
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-3000
Mailing Address - Country:US
Mailing Address - Phone:302-320-5700
Mailing Address - Fax:302-320-5560
Practice Address - Street 1:4000 NEXUS DR STE NWG -250
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3000
Practice Address - Country:US
Practice Address - Phone:302-320-5700
Practice Address - Fax:302-320-5560
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-16
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEL1-0032506163WP0808X
DELG-0001171363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health