# SAMANTHA EMILY MAGRUDER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1720845175
- **Gender:** F
- **Credential:** FNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 041470079 | IL | — |
| 363LC0200X | Critical Care Medicine Nurse Practitioner | 209-029764 | IL | Yes |
| 363LF0000X | Family Nurse Practitioner | 209.029764 | IL | — |

## Other

- **Enumeration date:** 03/04/2024
- **Last updated:** 09/15/2025