Healthcare Provider Details

I. General information

NPI: 1063281467
Provider Name (Legal Business Name): BREANA MICHELE SNYDER APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2023
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 SW FRAZIER CIR
TOPEKA KS
66606-2800
US

IV. Provider business mailing address

2519 SE NEPTUNE CT
TOPEKA KS
66605-3576
US

V. Phone/Fax

Practice location:
  • Phone: 785-232-2044
  • Fax: 785-430-2179
Mailing address:
  • Phone: 785-640-6628
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number82827
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: