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SNOW FAMILY MEDICINE LLC NPI 1104396324


NPI Information

NPI: 1104396324
Provider Name: SNOW FAMILY MEDICINE, LLC

Other Name: SNOW FAMILY MEDICINE

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 41D2159357

Address:
2220 PLAINFIELD PIKE
CRANSTON, RI
ZIP 02921
Phone: (401) 585-8500
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SNOW FAMILY MEDICINE, LLC is a family nurse practitioner in Cranston, RI. SNOW FAMILY MEDICINE, LLC NPI is 1104396324. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Snow Family Medicine.

The provider's business location address is:

2220 PLAINFIELD PIKE
CRANSTON, RI
ZIP 02921-031
Phone: (401) 585-8500
Fax: (401) 942-2200

The provider's authorized official is Kristen Ann Snow .
The authorized official title is Provider and has the following contact phone number (401) 585-8500.

The CLIA number assigned to this NPI record is 41D2159357 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2018 and was last updated on 8/9/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsNo
2363LP2300XNurse PractitionerPrimary CareNo
3363LF0000XNurse PractitionerFamilyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11568827517MEDICAIDRHODE ISLAND
21104396324MEDICAIDRHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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