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General NPI Number Information
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NPI Number | 1477585727
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Entity Type | Individual
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Provider Name | DEBRA ANN SNOW ANP
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Gender | Female
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 919 12TH PL SUITE 6
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City | PRESCOTT
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State | AZ
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Zip | 86305-1433
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Country | US
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Telephone | 928-445-4166
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Fax | 928-776-9668
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Provider Business Mailing Address
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Address Line | 495 SHADOW MOUNTAIN DR
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City | PRESCOTT
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State | AZ
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Zip | 86301-5722
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Country | US
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Telephone | 928-445-7118
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 126332
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License Number State | AZ
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