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Samantha Ellis

NPI 1841959533 · on the registry since 2021

Practice

Address
1530 Woodfield Creek Dr Apt 205
Wake Forest, NC 27587
Phone
(919) 889-4990

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-12-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina