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

Samantha Lynne Wylie, NP

Individual provider Primary Care Nurse Practitioner · NPI 1962954354

Samantha Lynne Wylie, NP is a Primary Care Nurse Practitioner in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

35 Michigan St NE Ste 3003
Grand Rapids, MI 49503-2528
Phone: (616) 267-2570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 4704265506 (MI)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 4704265506 (MI)

Record details

NPI number1962954354
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 1, 2016
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025

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