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Individual

ROBERTA LYNN SNEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
8675 VALLEY CREEK RD, WOODBURY, MN 55125-2337
(651) 241-3000
(651) 241-3500
Mailing address
2925 CHICAGO AVE # MR 10202, MINNEAPOLIS, MN 55407-1321
(612) 262-1166
(612) 262-4258

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
125877
AK
363LF0000X
Family Nurse Practitioner
6912
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2477056
MINNESOTA BOARD OF NURSING
MN
01
6912
MINNESOTA BOARD OF NURSING
MN
Enumeration date
08/18/2017
Last updated
07/21/2022
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