Samantha Flores
Registered Nurse in Rockford, IL. Individual provider (NPI-1).
NPI number1720552128
StatusActive
Last updated in NPPESJan 18, 2019
Details
- NPI
- 1720552128
- Entity type
- Individual (NPI-1)
- Name
- Samantha Flores
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 18, 2019
- Last updated
- Jan 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 041462272 | IL | Yes |
Practice location
3815 Harrison AveRockford, IL 61108-7631
Phone 815-391-1000
Mailing address
1021 N Mulford RdRockford, IL 61107-3877
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