Individual
PHI LE SNODGRASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 889-1773
Mailing address
632 S 38TH ST, OMAHA, NE 68105-1123
(402) 889-1773
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
56463
NE
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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