Individual provider · Type 1 NPI
Samantha Elledge, MSN, AGPCNP
Primary Care Nurse Practitioner · Troy, MO
NPI number
1285378349
Active
Practice location
1000 E Cherry St
Troy, MO 63379-1513
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 2021030042 (MO) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1285378349
Samantha Elledge, MSN, AGPCNP's National Provider Identifier is 1285378349, issued on Apr 25, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Troy, MO. The record was last updated on Apr 25, 2022.