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

Samantha Tully

Individual provider Physician Assistant · NPI 1265399406

Samantha Tully is a Physician Assistant in Milwaukee, Wisconsin. Works from 2 locations. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

900 N 92nd St
Milwaukee, WI 53226-1202
Phone: (414) 805-3000
Show map & directions

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

Additional practice locations (1)

  • 2140 Davidson Rd, Waukesha, WI 53186-4008 — (262) 951-3253

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1265399406
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 8, 2026
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026
Mailing address2140 Davidson Rd, Waukesha, WI 53186-4008

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