Provider Demographics
NPI:1942727979
Name:WENZEL, SAMANTHA LYNDI (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:LYNDI
Last Name:WENZEL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4778 SIERRA LN
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-3413
Mailing Address - Country:US
Mailing Address - Phone:954-608-1427
Mailing Address - Fax:
Practice Address - Street 1:4725 N FEDERAL HIGHWAY
Practice Address - Street 2:ADVANCED CARDIAC THERAPEUTICS
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308
Practice Address - Country:US
Practice Address - Phone:954-542-7974
Practice Address - Fax:954-542-7953
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9327349363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care