MRS. MARY LOU SNOUFFER (NPI# 1770876542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770876542 |
| Entity Type | Individual |
| Full Name | MRS. MARY LOU SNOUFFER |
| Credential | N.P. |
| Practice Address |
1234 E Dupont Rd # Ppg Fort Wayne IN 46825-1545 |
| Mailing Address |
1234 E Dupont Rd Suite 1 Fort Wayne IN 46825-1545 |
| Practice Telephone | 2603739728 |
| Mailing Telephone | 2603739700 |
| Mailing Fax Number | 2603739740 |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2013-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
71003613A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000724410 | 01 |
| IN | 201023150 | 05 |
| Street Address |
1234 E DUPONT RD # PPG |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46825-1545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
| 1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
| 1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
| 1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
| 1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
| 1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
| 1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
| Find all providers in zip 46825 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102950 | Leslie Bruchey | Nurse Practitioner | 8330 Naab Rd, Indianapolis, IN 46260-5925 | 2020-01-02 |
| 1073150918 | Katie Elizabeth Abney | Nurse Practitioner | 10590 N Meridian St Ste 105, Indianapolis, IN 46290-1028 | 2019-12-10 |
| 1629529334 | Tracy Kerzan | Nurse Practitioner | 520 S 7th St, Vincennes, IN 47591-1038 | 2016-10-18 |
| 1811348279 | Christopher Furrey | Nurse Practitioner | 1801 N Senate Blvd, Indianapolis, IN 46202-1228 | 2016-06-28 |
| 1770716599 | Dana M. Wisehart | Nurse Practitioner | 1800 N Capitol Ave, Rm. E140, Indianapolis, IN 46202-1218 | 2009-08-27 |
| 1124251160 | Lindsay T Anderson | Nurse Practitioner | 1801 N Senate Blvd., Suite 635, Indianapolis, IN 46202-1212 | 2009-08-25 |
| 1063565968 | Nicolas Alexander | Nurse Practitioner | 2001 W 86th St, 3rd Floor Medical Education Center, Indianapolis, IN 46260-1902 | 2007-01-22 |
| City | FORT WAYNE |
| Zip Code | 46825 |
Please comment or provide details below to improve the information on MRS. MARY LOU SNOUFFER.
| 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.