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

Samantha Stazo, APRN-CNP

Individual provider Pediatric Nurse Practitioner · NPI 1093596447

Samantha Stazo, APRN-CNP is a Nurse Practitioner in Seattle, Washington. Qualified in 2023, 3 years ago. Licensed in Texas and Washington.

Years since qualifying
3
Licensed in
TX, WA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

4800 Sand Point Way NE
Seattle, WA 98105-3901
Phone: (206) 987-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence AP70004703 (WA)
Critical Care Pediatric Nurse Practitioner Taxonomy 363LP0222X · Licence 1138905 (TX)

Record details

NPI number1093596447
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedOctober 11, 2023
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

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

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