Individual
GENA SNEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
1625 S CENTRAL AVE, FLAGLER BEACH, FL 32136-3850
(727) 729-2981
Mailing address
1625 S CENTRAL AVE, FLAGLER BEACH, FL 32136-3850
(727) 729-2981
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN5181900
FL
251E00000X
Home Health Agency
Primary
PN5181900
FL
251F00000X
Home Infusion Agency
PN5181900
FL
372600000X
Adult Companion
PN5181900
FL
374U00000X
Home Health Aide
PN5181900
FL
376J00000X
Homemaker
PN5181900
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194127100
NPI
FL
Enumeration date
09/22/2014
Last updated
12/15/2016
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