Healthcare Provider Details

I. General information

NPI: 1881984755
Provider Name (Legal Business Name): KENYA FELICE SNOWDEN ACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2011
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 SW 57TH AVE STE 302E
SOUTH MIAMI FL
33143-5528
US

IV. Provider business mailing address

18420 SW 86TH CT
CUTLER BAY FL
33157-7221
US

V. Phone/Fax

Practice location:
  • Phone: 786-769-5480
  • Fax: 645-231-2115
Mailing address:
  • Phone: 305-585-5644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN9183243
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9183243
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: