Healthcare Provider Details

I. General information

NPI: 1265177034
Provider Name (Legal Business Name): DONNA GELISA SNEAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2022
Last Update Date: 05/12/2022
Certification Date: 05/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4747 EARHART BLVD
NEW ORLEANS LA
70125-1743
US

IV. Provider business mailing address

7001 BUNDY RD APT C33
NEW ORLEANS LA
70127-2185
US

V. Phone/Fax

Practice location:
  • Phone: 504-246-7683
  • Fax:
Mailing address:
  • Phone: 504-410-1477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: