Healthcare Provider Details

I. General information

NPI: 1184694929
Provider Name (Legal Business Name): JULIE SNELL ROSE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIE ELIZABETH SNELL M.D.

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HITCHCOCK WAY
MANCHESTER NH
03104-4125
US

IV. Provider business mailing address

1005 MANCHESTER AVE
NORFOLK VA
23508-1242
US

V. Phone/Fax

Practice location:
  • Phone: 603-695-2500
  • Fax:
Mailing address:
  • Phone: 757-285-6733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number0101235189
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number20825
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: