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Search › Pennsylvania › 363LA2200X

Samuel Wilburn, DNP, AGNP

NPI 1396355327 · on the registry since 2020 · sole proprietor

Practice

Address
1348 Bainbridge St
Philadelphia, PA 19147
Phone
(215) 563-0657
Organisation at this address
Mazzoni Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
30

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Also registered as
363LA2200X
Licence states on file
NY, PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-12-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania