Provider Demographics
NPI:1841774460
Name:WELKER, SAMBINA T (CRNP)
Entity Type:Individual
Prefix:
First Name:SAMBINA
Middle Name:T
Last Name:WELKER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:SAMBINA
Other - Middle Name:T
Other - Last Name:ROSCHELLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:429 N 21ST ST
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-2202
Mailing Address - Country:US
Mailing Address - Phone:717-981-8160
Mailing Address - Fax:717-312-3094
Practice Address - Street 1:429 N 21ST ST
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2202
Practice Address - Country:US
Practice Address - Phone:717-981-8160
Practice Address - Fax:717-312-3094
Is Sole Proprietor?:No
Enumeration Date:2018-09-19
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP019592363LA2200X, 363L00000X
NC276412163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse