Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samantha Illsley

Individual provider Technician/Technologist · NPI 1083380653

Samantha Illsley is a Technician/Technologist in Saint Cloud, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

141 33rd Ave S
Saint Cloud, MN 56301-3753
Phone: (320) 443-6250
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Technician/Technologist (primary) Taxonomy 156F00000X

Record details

NPI number1083380653
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 23, 2021
Last updated in NPPESAugust 23, 2021
Certification dateAugust 23, 2021
Mailing address141 33rd Ave S, Saint Cloud, MN 56301-3753

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