Samantha B Wines, RN
Individual provider Active NPI Registered Nurse · Mineral Wells, WV
NPI 1740024587 · NPPES record last updated Jun 25, 2024
Key facts
- NPI
- 1740024587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 118504 (WV)
- Practice address
- 340 Sharon St
Mineral Wells, WV 26150-3017 - Phone
- (304) 532-2421
- NPI assigned
- Jun 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118504 | WV | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 118504 | WV | Yes |
Addresses
Primary practice location
340 Sharon St
Mineral Wells, WV 26150-3017
Mailing address
340 Sharon St
Mineral Wells, WV 26150-3017
Phone (304) 532-2421
Other providers in Mineral Wells, WV
- Jessica Thomas
- Cassandra Vaughan
- Melody Vaught
- Martha Walker
- Natalie Dawn Williams
- Wirt County Health Services Association Inc
- Valerie Wiseman
- Rebecca Woodard
All providers in Mineral Wells, WV · Registered Nurse in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.