Individual
NICOLE CHRISTINE SNODGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1111 TRINITY LN STE 111, BLOOMINGTON, IL 61704-8112
(309) 663-6461
(309) 663-4529
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007349
IL
Other
Enumeration date
11/14/2019
Last updated
09/18/2025
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