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Individual
REBECCA DANIELLE SNIDER
Active
Individual
REBECCA DANIELLE SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5005853
NC
363LF0000X
Family Nurse Practitioner
Primary
RN290068
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003245519A
—
GA
01
—
RN290068
NP-C LICENSE
GA
Enumeration date
10/09/2012
Last updated
08/10/2021
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