Individual
DIANE SNODGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, BC, CNS
Contact information
Practice address
1200 N PHILLIPS AVE, SUITE 6100, OKLAHOMA CITY, OK 73104-4600
(405) 271-6827
(405) 271-4418
Mailing address
1122 NE 13TH ST, ORI 236, OKLAHOMA CITY, OK 73117-1039
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0065153
OK
Other
Enumeration date
03/16/2007
Last updated
01/19/2011
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