Snouffer, Mary Lou

Snouffer, Mary Lou is an individual health care provider with primary practice located at 1234 E Dupont Rd # Ppg , Fort Wayne IN 46825-1545. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as her primary health care specialty. Snouffer, Mary Lou can be contacted via phone (260) 373-9728.

Contact Information

Primary practice address
1234 E Dupont Rd # Ppg Fort Wayne IN 46825-1545
Phone: (260) 373-9728
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 71003613A Indiana

Profile Details

NPI number 1770876542
LBN Legal business name Snouffer, Mary Lou
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2011
Last updated Mar 10th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770876542 NPPES
Indiana Other 000000724410 ANTHEM
Indiana MEDICAID 201023150 ANTHEM

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