Provider Demographics
NPI:1053168880
Name:HELLMAN, SAMANTHA BETH (AGPCNP-BC, APNP)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:BETH
Last Name:HELLMAN
Suffix:
Gender:F
Credentials:AGPCNP-BC, APNP
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:BETH
Other - Last Name:SKORBIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:W180N8000 TOWN HALL RD
Mailing Address - Street 2:
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-4002
Mailing Address - Country:US
Mailing Address - Phone:262-255-2500
Mailing Address - Fax:262-253-9501
Practice Address - Street 1:W180N8000 TOWN HALL RD
Practice Address - Street 2:
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051-4002
Practice Address - Country:US
Practice Address - Phone:262-255-2500
Practice Address - Fax:262-253-9501
Is Sole Proprietor?:No
Enumeration Date:2024-04-30
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI14994363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100287541Medicaid