Individual
MRS. NICHOLE LYNN SNOW
Active
Individual
MRS. NICHOLE LYNN SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS, APRN-BC
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
2126
SC
363LA2200X
Adult Health Nurse Practitioner
Primary
2126
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0828
—
SC
01
—
SC54346084
MEDICARE PIN
SC
01
—
SC54346121
MEDICARE PIN
SC
Enumeration date
11/08/2006
Last updated
12/23/2020
Update your record
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