Individual
KATRINA LEA ANN SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5041 N 12TH AVE, PENSACOLA, FL 32504-8916
(850) 433-2155
Mailing address
3044 HOLLEY POINT RD, NAVARRE, FL 32566-9508
(850) 225-9984
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11006181
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
04/02/2020
Last updated
04/02/2020
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