Patricia Ann Sniezek, GNP ANP

Individual provider Active NPI Adult Health Nurse Practitioner · Ogema, MN

NPI 1154372050 · NPPES record last updated Oct 4, 2011

Key facts

NPI
1154372050
Entity type
Individual (NPI type 1)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
License
R0793333 (MN)
Practice address
40520 County Hwy 34
White Earth Health Center
Ogema, MN 56569
Phone
(218) 983-4300
Fax
(218) 983-6217
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R0793333MNMDGerontology Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R0793333 MN
Adult Health Nurse Practitioner 363LA2200X R0793333 MN Yes
Gerontology Nurse Practitioner 363LG0600X R0793333 MN

Addresses

Primary practice location

40520 County Hwy 34
White Earth Health Center
Ogema, MN 56569

Mailing address

PO Box 157
St Annes Church
Naytahwaush, MN 56566

Other identifiers

IdentifierTypeStateIssuer
108214100MedicaidMN
0404850OtherMEDICA
177K6SNOtherBCBS
585241032125OtherPREFERRED ONE

Other providers in Ogema, MN

All providers in Ogema, MN · Adult Health Nurse Practitioner in Minnesota

Sources for this page

Verify at the official NPI Registry.