Samantha Illsley
Technician/Technologist
141 33rd Ave S
Saint Cloud
, Minnesota 56301-3753
Samantha Illsley
Technician/Technologist
141 33rd Ave S
Saint Cloud
, Minnesota 56301-3753
(320) 443-6250
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About
Features
Specialties
- Technician/Technologist
Languages spoken
- English
Location
First Address
- Samantha Illsley
- 141 33rd Ave S
- Saint Cloud, MN
- Zip : 56301-3753
- Phone : (320) 443-6250
Second Address
- Samantha Illsley
- 141 33rd Ave S
- Saint Cloud, MN
- Zip : 56301-3753
- Phone : (320) 443-6250
Reviews
FAQs
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Is Samantha Illsley accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist |
National Provider Identifier
| NPI | 1083380653 |
|---|---|
| Provider Name | Samantha Illsley |
| First Address | Saint Cloud, MN 56301-3753 |
| Second Address | Saint Cloud, MN 56301-3753 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/08/2021 |
| Last Update Date | 23/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.