BROOKE DANIELLE SNIDER


Address: 9165 Otis Ave, Indianapolis, IN 46216-2306
Phone: 3178800000

BROOKE DANIELLE SNIDER (NPI# 1043872625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043872625
Entity Type Individual
Full Name BROOKE DANIELLE SNIDER
Credential FNP-C
Practice Address 9165 Otis Ave
Indianapolis
IN 46216-2306
Practice Telephone 3178800000
Enumeration Date 2019-07-03
Last Update Date 2019-07-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
28177094A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN NURSING LICENSE 28177094A 01

Office Location

Street Address 9165 OTIS AVE
City INDIANAPOLIS
State IN
Zip Code 46216-2306

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659746709 The Altruist Group, LLC Day Training, Developmentally Disabled Services 9165 Otis Ave, Suite 235, Indianapolis, IN 46216-2027 2015-12-01
1497290712 Helping Hands Autism Behavioral Center Counselor 9165 Otis Ave, Indianapolis, IN 46216-2306 2016-12-21
1689024713 Palms Cleaning Inc In Home Supportive Care 9165 Otis Ave, Suite 213, Indianapolis, IN 46216-2027 2016-06-20
1346600996 Ida Spells Specialist 9165 Otis Ave, Indianapolis, IN 46216-2027 2016-02-24
1972985935 Indiana University Health Urgent Care Centers, LLC. Clinic/Center 9165 Otis Ave, Suite 112, Indianapolis, IN 46216-2027 2015-06-25

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1871562645 Richard Clark Perry Internal Medicine 8205 E 56th Street, Suite 100, Indianapolis, IN 46216 2006-03-15
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1457976615 Adam Weir Nurse Practitioner 960 E Washington St, Indianapolis, IN 46202-3981 2020-06-13
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1760001200 John Shaver Nurse Practitioner 3750 N Meridian St Ste 100, Indianapolis, IN 46208-4300 2020-04-14
1851931000 Robin L Petit Nurse Practitioner 6925 S Harding St Ste B-1, Indianapolis, IN 46217-4114 2020-01-15
1952941577 Andreya Beckett Nurse Practitioner 3500 Depauw Blvd Ste 1041, Indianapolis, IN 46268-6125 2020-01-11
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Competitor

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City INDIANAPOLIS
Zip Code 46216

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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