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

Samantha Willis

Individual provider Registered Nurse · NPI 1164055331

Samantha Willis is a Registered Nurse in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

1366 E 102nd St
Brooklyn, NY 11236-5312
Phone: (347) 446-3981
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 696962 (NY)

Record details

NPI number1164055331
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 17, 2020
Last updated in NPPESFebruary 17, 2020
Certification dateFebruary 17, 2020
Mailing address1366 E 102nd St, Brooklyn, NY 11236-5312

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