Provider Demographics
NPI:1467939835
Name:SWEITZER, SAMANTHA ANGELICA (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:SAMANTHA
Middle Name:ANGELICA
Last Name:SWEITZER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 N 24TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-6409
Mailing Address - Country:US
Mailing Address - Phone:571-527-9605
Mailing Address - Fax:
Practice Address - Street 1:541 S SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23803-5039
Practice Address - Country:US
Practice Address - Phone:804-957-9601
Practice Address - Fax:804-957-5850
Is Sole Proprietor?:No
Enumeration Date:2018-07-27
Last Update Date:2018-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024176414363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily