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NPI Code Detail

MEDICARE: BROOKLYNE KAY SNIEGOCKI RN

MEDICARE: BROOKLYNE KAY SNIEGOCKI RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse4704289384MI

General Provider Information

NPI Number : 1396603205
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKLYNE KAY SNIEGOCKI RN
Provider Business Mailing Address
First Line : 1228 HOLYROOD ST
Second Line :
City : MIDLAND
State : MI
Zip : 48640-6313
Country : US
Telephone Number : 989-948-4513
Fax Number :
Provider Business Practice Location Address
First Line : 1500 WEISS ST
Second Line :
City : SAGINAW
State : MI
Zip : 48602-5251
Country : US
Telephone Number : 989-497-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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