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Individual

RITA D. SNAVELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1965 S FREMONT AVE, SUITE 100, SPRINGFIELD, MO 65804-2201
(417) 820-3800
(417) 820-3810
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
127674
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
425390101
MO
01
431560263023
TRICARE
MO
01
500018826
RAILROAD MEDICARE
MO
Enumeration date
11/30/2006
Last updated
07/11/2008
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