MEDICARE: AMY ELIZABETH SNEDIGAR FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	SP015658	PA
2	363LF0000X	Family Nurse Practitioner	1049	AK
3	363LF0000X	Family Nurse Practitioner	SP015658	PA

General Provider Information

NPI Number	:	1447498704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY ELIZABETH SNEDIGAR FNP

Provider Business Mailing Address
First Line	:	7001 NORTH HIGHWAY 309
Second Line	:
City	:	COOPERSBURG
State	:	PA
Zip	:	18036-9638
Country	:	US
Telephone Number	:	610-282-4104
Fax Number	:

Provider Business Practice Location Address
First Line	:	7001 NORTH HIGHWAY 309
Second Line	:
City	:	COOPERSBURG
State	:	PA
Zip	:	18036-9638
Country	:	US
Telephone Number	:	610-282-4104
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2009
Last Update Date	:	11/05/2024

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