Individual
SHAUNA M SNITKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
195 COLLYER ST STE 201, PROVIDENCE, RI 02904-1869
(401) 272-7799
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01095
RI
363AM0700X
Medical Physician Assistant
PA4183
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA4183
BOARD REGISTRATION COMM OF MA
MA
Enumeration date
12/04/2008
Last updated
03/10/2026
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