Individual
JOSHUA FRANKLIN SNODGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-1000
(217) 544-6464
Mailing address
221 QUARTERSTAFF RD, SPRINGFIELD, IL 62704-5221
(217) 416-5655
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041442263
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209027895
IL
Other
Enumeration date
10/11/2022
Last updated
07/27/2023
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