Individual
SAMANTHA MOTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
(770) 643-5619
Mailing address
4003 S WEST SHORE BLVD APT 1812, TAMPA, FL 33611-1031
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9407952
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11010618
FL
Other
Enumeration date
09/24/2020
Last updated
02/24/2021
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