Individual provider · Type 1 NPI
Samantha Renee Reliford, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Peoria, IL
NPI number
1205574902
Active
Practice location
507 E Armstrong Ave
Peoria, IL 61603-3201
Fax (309) 681-6965
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209025244 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1205574902
Samantha Renee Reliford, PMHNP's National Provider Identifier is 1205574902, issued on May 23, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Peoria, IL. The record was last updated on Aug 29, 2024.