MEDICARE: TAYLOR SNAPP NURSE PRACTITIONER

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	363LF0000X	Family Nurse Practitioner	99462	OK

General Provider Information

NPI Number	:	1881136695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR SNAPP NURSE PRACTITIONER

Provider Business Mailing Address
First Line	:	6929 E 15TH ST
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73013-8674
Country	:	US
Telephone Number	:	225-328-2605
Fax Number	:	405-757-3711

Provider Business Practice Location Address
First Line	:	2017 W I 35 FRONTAGE RD
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73013-8504
Country	:	US
Telephone Number	:	405-757-3710
Fax Number	:	405-757-3711

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

Provider Enumeration Date	:	11/10/2016
Last Update Date	:	05/28/2026

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