Individual provider · Type 1 NPI
Samantha Ellis
Registered Nurse · Grand Rapids, MI
Practice location
1104 Maybelle St NE
Grand Rapids, MI 49503-1240
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 4704367347 (MI) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1043124456
Samantha Ellis's National Provider Identifier is 1043124456, issued on Oct 1, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 1, 2026.