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Individual

MRS. CHERYL LYNNETTE SNODGRASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28114108A
IN
363L00000X
Nurse Practitioner
Primary
71005213A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
28114108C
IN

Other

Enumeration date
12/28/2007
Last updated
09/06/2023
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