Individual
ELIZABETH SAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1623 HOSPITAL LOOP, OWYHEE, NV 89832-1200
(775) 757-2415
(775) 757-2066
Mailing address
PO BOX 159, OWYHEE, NV 89832-0159
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R40849
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R40849
RN LICENSE
ND
Enumeration date
10/09/2014
Last updated
10/09/2014
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