Provider Demographics
NPI:1336480466
Name:WEBER, SAMANTHA BRITTANY (RN, NP, WHNP-BC)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:BRITTANY
Last Name:WEBER
Suffix:
Gender:F
Credentials:RN, NP, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:325 S MOORPARK RD
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91361-1008
Mailing Address - Country:US
Mailing Address - Phone:805-497-0844
Mailing Address - Fax:805-497-0844
Practice Address - Street 1:325 S MOORPARK RD
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91361-1008
Practice Address - Country:US
Practice Address - Phone:805-497-0244
Practice Address - Fax:805-497-0844
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-14
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA826261163W00000X
CA226363363LW0102X
CA22636363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse