Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samantha L Munro

Individual provider Family Nurse Practitioner · NPI 1942089768

Samantha L Munro is a Nurse Practitioner in Maryville, Illinois. Qualified in 2023, 3 years ago. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2023
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Practice location Address checks out

2236 Vadalabene Dr
Maryville, IL 62062-5844
Phone: (618) 726-2229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209028045 (IL)

Record details

NPI number1942089768
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 22, 2023
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023
Mailing address726 Sunset Blvd, Ofallon, IL 62269

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Maryville