Individual provider · Type 1 NPI

Samantha Illsley

Technician/Technologist · St. Cloud, MN

NPI number 1083380653 Active

Practice location

141 33rd Ave S
St. Cloud, MN 56301-3753

Call (320) 443-6250 Map

Specialties and licenses

TaxonomyCodeLicense
Technician/Technologist Primary 156F00000XNone listed

Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.

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About NPI 1083380653

Samantha Illsley's National Provider Identifier is 1083380653, issued on Aug 23, 2021. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in St. Cloud, MN. The record was last updated on Aug 23, 2021.