Individual
BENJAMIN SNELLGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1201 N MULDOON RD, ANCHORAGE, AK 99504-6104
(888) 353-7574
Mailing address
1201 N MULDOON RD, ANCHORAGE, AK 99504-6104
(888) 353-7574
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
171269
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP144290
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407235701
—
TX
Enumeration date
12/09/2019
Last updated
01/01/2024
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