Healthcare Provider Details

I. General information

NPI: 1023134459
Provider Name (Legal Business Name): KAREN A. SNOW-HOLMES FNP/ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 08/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 GENESEE ST
ROCHESTER NY
14611
US

IV. Provider business mailing address

480 GENESEE ST
ROCHESTER NY
14611
US

V. Phone/Fax

Practice location:
  • Phone: 585-463-3040
  • Fax: 585-295-6009
Mailing address:
  • Phone: 585-463-3040
  • Fax: 585-295-6009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF3021350
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF331139-1
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF300179-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: