NPI 1003468844

Samantha Mullis, NNP

Practitioner Critical Care Neonatal Nurse Practitioner Bend, OR

Practice location

Address: 2500 NE Neff Rd, Bend, OR 97701-6015
Phone: (541) 382-4321
Fax: (541) 706-7068
Mailing address: 200 Hawthorne Ln, Charlotte, NC 28204-2515

Registered specialties (2)

Critical Care Neonatal Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LN0005X Licence 5011980 (NC)

Other Nurse Practitioner providers in Oregon →

Neonatal Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LN0000X Licence 5011980 (NC)

Registry record

NPI: 1003468844
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jul 2019
Record last updated: 1 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.