Healthcare Provider Details

I. General information

NPI: 1801880026
Provider Name (Legal Business Name): SANDRA ARROYO SNIPES CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2005
Last Update Date: 10/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WINN ARMY COMMUNITY HOSPITAL; WELL WOMAN CLINIC 1061 HARMON AVENUE
FORT STEWART GA
31314-5611
US

IV. Provider business mailing address

1061 HARMON AVE STE 1D03
FORT STEWART GA
31314-5611
US

V. Phone/Fax

Practice location:
  • Phone: 912-435-5116
  • Fax:
Mailing address:
  • Phone: 912-435-6633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN177125
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number143334
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberRN177125
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: