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Individual

MRS. SAMANTHA NICOLE ELLIOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC

Contact information

Practice address
26032 DETROIT RD STE 1, WESTLAKE, OH 44145-2478
(440) 250-9414
(440) 250-9457
Mailing address
41420 NORTHWOOD ST, ELYRIA, OH 44035-1251
(440) 541-4260

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.384205
OH
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN.384205
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0036073
OH

Other

Enumeration date
10/25/2017
Last updated
08/21/2024
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