Individual
MS. MACIE VAUGHAN SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
153 E MONTE PAINTER DR, FAYETTEVILLE, AR 72703-4002
(479) 444-2200
Mailing address
1341 N FUTRALL DR APT 3, FAYETTEVILLE, AR 72703-1175
(501) 940-6207
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
A006192
AR
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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