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Individual

SAMANTHA ZELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
102358
OK
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11014207
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102358
RN LICENSE
OK
Enumeration date
08/04/2008
Last updated
08/04/2023
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