Staci Sneads, ARNP
Individual provider Active NPI Family Nurse Practitioner · Marianna, FL
NPI 1649209461 · NPPES record last updated Oct 21, 2010
Key facts
- NPI
- 1649209461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- ARNP 3021832 (FL)
- Practice address
- 4439 Jackson St
Marianna, FL 32448-4658 - Phone
- (850) 526-4830
- Fax
- (850) 482-2757
- NPI assigned
- Jul 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 3021832 | FL | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP 3021832 | FL | Yes |
Addresses
Primary practice location
4439 Jackson St
Marianna, FL 32448-4658
Mailing address
4439 Jackson St
Marianna, FL 32448-4658
Phone (850) 526-4830
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 304341000 | Medicaid | FL |
Other providers in Marianna, FL
- Janaysha Smith
- Jason C Smith
- Julie Renee Smith
- Mary Helen Helen Smith
- Susan M. Smith
- South Alabama Diagnostic Imaging
- Southeast Cancer Care Network LLC
- Southern Roots Psychiatry Inc
- John A. Spence
- Steven Walter Spence
All providers in Marianna, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.