SAMANTHA ELLIS

PHOENIX, AZ
NPI1356799985
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: AZ  AP8278)
Enumeration Date2016-05-24
Last Update Date2019-08-23
Business Address
SAMANTHA ELLIS DNP
15420 N 32ND DR
PHOENIX, AZ 85053
Phone number: 602-866-1974
Mailing Address
SAMANTHA ELLIS DNP
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number: