Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 5011980 | NC |
NPI | 1003468844 |
---|---|
Provider Name | Samantha Mullis |
First Address | Charlotte, NC 28204-2515 |
Second Address | Charlotte, NC 28204-2515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2019 |
Last Update Date | 11/07/2019 |