Provider Demographics
NPI:1396417606
Name:ZABROSKE, SAMANTHA (BSN, DNP-FNP)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:ZABROSKE
Suffix:
Gender:F
Credentials:BSN, DNP-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 PEACHFORD RD STE T
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-6539
Mailing Address - Country:US
Mailing Address - Phone:404-567-6944
Mailing Address - Fax:
Practice Address - Street 1:2150 PEACHFORD RD STE T
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-6539
Practice Address - Country:US
Practice Address - Phone:404-567-6944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-05
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN259060363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily