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Individual
DR. SAMANTHA AVLA BLUE
Active
Individual
DR. SAMANTHA AVLA BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
26NR14129300
NJ
363LF0000X
Family Nurse Practitioner
Primary
APRN9487688
FL
Other
Enumeration date
09/10/2017
Last updated
09/16/2023
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