1. Home
  2. Directory
  3. Wisconsin
  4. Appleton
  5. Nurse Practitioner
  6. NPI Profile

MRS. SAMANTHA A EITING APNP
NPI 1972035061
Nurse Practitioner in Appleton, WI

Active since March 29, 2017
W3208 VAN ROY RD, APPLETON, WI 54915(866) 455-8111 Get Directions Write a Review

NPPES record last updated: March 29, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Samantha A Eiting Apnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SAMANTHA A EITING APNP (NPI 1972035061) is an individual nurse practitioner in Appleton, Wisconsin, licensed in Wisconsin (178207) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1972035061
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. SAMANTHA A EITINGCredential: APNP
Location AddressW3208 VAN ROY RDAppleton, WI 54915-4086
Mailing AddressPo Box 8003Appleton, WI 54912-8003 · (920) 830-5900 · Fax (920) 738-5787
Phone(866) 455-8111
Sole ProprietorNo
Enumeration DateMarch 29, 2017
✔ NPI 1972035061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 178207
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
W3208 VAN ROY RD, Appleton, WI 54915
Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Samantha A Kantelberg

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHOPKO STORES OPERATING CO LLC
Eyewear Supplier
W3208 VAN ROY RD
APPLETON, WI 54915
Calumet County (920) 111-1111
SARAH MICHALSKI
Pharmacist
W3208 VAN ROY RD
APPLETON, WI 54915
Calumet County (920) 733-3846
MRS. CHRISTINE ANNETTE KLAWITER NP-C
Nurse Practitioner (Family)
W3208 VAN ROY RD
APPLETON, WI 54915
Calumet County (866) 455-8111
SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
W3208 VAN ROY RD
APPLETON, WI 54915
Calumet County (920) 111-1111
DR. NATHAN PAUL CICHOCKI RPH
Pharmacist
W3208 VAN ROY RD
APPLETON, WI 54915
Calumet County (920) 733-3846

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Eiting's NPI number?

The NPI number for Samantha Eiting is 1972035061. It was assigned to this individual provider in the NPPES registry on March 29, 2017. The provider is also known as Miss Samantha A Kantelberg.

Where is Samantha Eiting located?

Samantha Eiting practices at W3208 Van Roy Rd, Appleton, WI 54915. The listed phone number is (866) 455-8111.

What is Samantha Eiting's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Samantha Eiting was last updated on March 29, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.