Individual
MARY JO SNOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
707 S MILLS ST, MADISON, WI 53715-1849
(608) 251-6100
Mailing address
707 S MILLS ST, MADISON, WI 53715-1849
(608) 251-6100
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
2252
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105519
WI LICENSE
WI
05
—
39872000
—
WI
Enumeration date
02/07/2008
Last updated
03/07/2023
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