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Samantha Ellis, DNP
Pediatric Nurse Practitioner in Phoenix, Arizona
NPI 1356799985

Samantha Ellis is a Pediatric Nurse Practitioner based in Charlotte, AZ and is specialized in Pediatrics. Samantha Ellis practices in Phoenix, AZ and has the professional credentials of DNP. The NPI Number for Samantha Ellis is 1356799985 and holds a License No. AP8278 (Arizona).

The current practice location address for Samantha Ellis is 15420 N 32Nd Dr, Phoenix, AZ and can be reached out via phone at 602-866-1974.

Location: 15420 N 32Nd Dr, Phoenix, AZ, 28219-9305
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Provider Profile Details
NPI Number
1356799985
Provider Name
Samantha Ellis
Credential
DNP
Provider Entity Type
Individual
Gender
Female
Address
15420 N 32Nd Dr, Phoenix, AZ, 28219-9305
Phone Number
602-866-1974
Fax Number
Provider Enumeration Date
05/24/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
387005 05 AZ
institution
Provider Business Practice Location Address Details
Address
15420 N 32Nd Dr
City
State
Zip
85053
Phone Number
602-866-1974
Fax Number
person
Provider Business Mailing Address Details
Address
15420 N 32Nd Dr
City
State
Zip
85053
Phone Number
602-866-1974
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
AP8278 (Arizona)
Definition
Definition to come...
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