Individual
MANDI BROOKE SNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1740 NICHOLASVILLE RD, LEXINGTON, KY 40503-1431
(859) 260-6180
Mailing address
1740 NICHOLASVILLE RD, LEXINGTON, KY 40503-1431
(859) 260-6180
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R3005927
KY
363LF0000X
Family Nurse Practitioner
3005927
KY
363LF0000X
Family Nurse Practitioner
Primary
5927P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124301
—
MS
Enumeration date
06/13/2006
Last updated
07/24/2019
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