Individual
BROOKE DANIELLE SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2620 KESSLER BOULEVARD EAST DR STE 210, INDIANAPOLIS, IN 46220-2889
(317) 880-2276
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71009154A
IN
363LF0000X
Family Nurse Practitioner
28177094A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28177094A
NURSING LICENSE
IN
Enumeration date
07/03/2019
Last updated
09/30/2025
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