Individual
PATRICIA ANN SNIEZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP ANP
Contact information
Practice address
40520 COUNTY HWY 34, WHITE EARTH HEALTH CENTER, OGEMA, MN 56569
(218) 983-4300
(218) 983-6217
Mailing address
PO BOX 157, ST ANNES CHURCH, NAYTAHWAUSH, MN 56566
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R0793333
MN
363LA2200X
Adult Health Nurse Practitioner
Primary
R0793333
MN
363LG0600X
Gerontology Nurse Practitioner
R0793333
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0404850
MEDICA
—
05
—
108214100
—
MN
01
—
177K6SN
BCBS
—
01
—
585241032125
PREFERRED ONE
—
Enumeration date
05/15/2006
Last updated
10/04/2011
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