SAMANTHA MULLIS NNP NPI 1003468844

NPI Information

NPI: 1003468844
Provider Name: SAMANTHA MULLIS, NNP
Classification: Nurse Practitioner - 363LN0005X
Entity Type: Individual

Specialization: Neonatal, Critical Care

Address:
2500 NE NEFF RD
BEND, OR
ZIP 97701
Phone: (541) 382-4321
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Samantha Mullis, NNP is a neonatal and critical care nurse practitioner in Bend, OR. Samantha Mullis, NNP NPI is 1003468844. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2500 NE NEFF RD
BEND, OR
ZIP 97701-015
Phone: (541) 382-4321
Fax: (541) 706-7068

The enumeration date for this NPI number is 7/11/2019 and was last updated on 4/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LN0005X	Nurse Practitioner	Neonatal, Critical Care	5011980	NORTH CAROLINA	Yes
2	363LN0000X	Nurse Practitioner	Neonatal	5011980	NORTH CAROLINA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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