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Individual
SAMANTHA EMILY MAGRUDER
Active
Individual
SAMANTHA EMILY MAGRUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041470079
IL
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
209-029764
IL
363LF0000X
Family Nurse Practitioner
209.029764
IL
Other
Enumeration date
03/04/2024
Last updated
09/15/2025
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