Individual provider · Type 1 NPI

Samantha Ellis, DNP

Pediatric Nurse Practitioner · Phoenix, AZ

NPI number 1356799985 Active

Practice location

15420 N 32nd Dr
Phoenix, AZ 85053

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

  • 1001 Blythe Blvd, Medical Center Plaza Suite 601, Charlotte, NC 28203-5866 · (704) 381-9900

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAP8278 (AZ)

Pediatric Nurse Practitioner: Definition to come...

11 other providers at this address

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About NPI 1356799985

Samantha Ellis, DNP's National Provider Identifier is 1356799985, issued on May 24, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 23, 2019.