Individual provider · Type 1 NPI
Samantha Mullis, NNP
Critical Care Neonatal Nurse Practitioner · Bend, OR
NPI number
1003468844
Active
Practice location
2500 NE Neff Rd
Bend, OR 97701-6015
Fax (541) 706-7068
Mailing address
200 Hawthorne Ln
Charlotte, NC 28204-2515
Other practice locations
- 200 Hawthorne Ln, Charlotte, NC 28204-2515 · (704) 384-4109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Neonatal Nurse Practitioner Primary | 363LN0005X | 5011980 (NC) |
| Neonatal Nurse Practitioner | 363LN0000X | 5011980 (NC) |
Critical Care Neonatal Nurse Practitioner: Definition to come...
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About NPI 1003468844
Samantha Mullis, NNP's National Provider Identifier is 1003468844, issued on Jul 11, 2019. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Bend, OR. The record was last updated on Apr 1, 2024.