SAMANTHA GREGORY DAGENHARDT

PORT WASHINGTON, WI
NPI1659642841
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WI  4747-33)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: WI  4747-33)
Enumeration Date2012-01-19
Last Update Date2023-03-07
Business Address
SAMANTHA GREGORY DAGENHARDT RN, MS, MSN, PMHCNS-
121 W MAIN ST
PORT WASHINGTON, WI 53074-1813
Phone number: 262-284-8157
Mailing Address
SAMANTHA GREGORY DAGENHARDT RN, MS, MSN, PMHCNS-
121 W MAIN ST
PORT WASHINGTON, WI 53074-1813
Phone number: 262-284-8200