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NPI Code Detail

MEDICARE: KARLEENA SNOW DNP, AGACNP

MEDICARE:   KARLEENA  SNOW  DNP, AGACNP
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
1363LA2100XAcute Care Nurse Practitioner8027594-4405UT
2363LA2200XAdult Health Nurse Practitioner8027594-4405UT
3363LA2100XAcute Care Nurse Practitioner201606698NP-PPOR

General Provider Information

NPI Number : 1679939755
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLEENA SNOW DNP, AGACNP
Provider Business Mailing Address
First Line : 5171 S COTTONWOOD ST
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84107-5704
Country : US
Telephone Number : 801-507-4000
Fax Number :
Provider Business Practice Location Address
First Line : 5171 S COTTONWOOD ST
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84107-5704
Country : US
Telephone Number : 801-507-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2016
Last Update Date : 12/09/2025

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Directions to “ KARLEENA SNOW DNP, AGACNP” Practice Location

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