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Mrs. Mary Lou Snouffer, NP
Critical Care Medicine Nurse Practitioner in Fort Wayne, Indiana
NPI 1770876542

Mary Lou Snouffer is a Critical Care Medicine Nurse Practitioner based in Fort Wayne, IN and is specialized in Critical Care Medicine. Mary Lou Snouffer practices in Fort Wayne, IN and has the professional credentials of NP. The NPI Number for Mary Lou Snouffer is 1770876542 and holds a License No. 71003613A (Indiana).

The current practice location address for Mary Lou Snouffer is 1234 E Dupont Rd # Ppg, Fort Wayne, IN and can be reached out via phone at 260-373-9728.

Location: 1234 E Dupont Rd # Ppg, Fort Wayne, IN, 46845-1701
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Provider Profile Details
NPI Number
1770876542
Provider Name
Mary Lou Snouffer
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1234 E Dupont Rd # Ppg, Fort Wayne, IN, 46845-1701
Phone Number
260-373-9728
Fax Number
Provider Enumeration Date
05/26/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000724410 01 IN ANTHEM
201023150 05 IN
institution
Provider Business Practice Location Address Details
Address
1234 E Dupont Rd # Ppg
City
State
Zip
46825-1545
Phone Number
260-373-9728
Fax Number
person
Provider Business Mailing Address Details
Address
1234 E Dupont Rd # Ppg
City
State
Zip
46825-1545
Phone Number
260-373-9728
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Critical Care Medicine
Taxonomy
License No.
71003613A (Indiana)
Definition
Definition to come...
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