Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Samantha Tully, PA-C

Individual provider Physician Assistant · NPI 1265399406

Samantha Tully, PA-C is a Physician Assistant in Milwaukee, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2026
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 805-6400
Fax: (414) 955-0213
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 · Licence 8938-023 (WI)

Record details

NPI number1265399406
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 8, 2026
Last updated in NPPESSeptember 9, 2026
Certification dateSeptember 9, 2026

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