Provider Demographics
NPI:1215394218
Name:SNEATHERN, VALERIE (APRN)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:SNEATHERN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:
Other - Last Name:FRENCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:PO BOX 497
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:AR
Mailing Address - Zip Code:72006-0497
Mailing Address - Country:US
Mailing Address - Phone:870-347-2534
Mailing Address - Fax:
Practice Address - Street 1:805 THIRD ST
Practice Address - Street 2:
Practice Address - City:HORSESHOE BEND
Practice Address - State:AR
Practice Address - Zip Code:72512-3736
Practice Address - Country:US
Practice Address - Phone:870-670-4861
Practice Address - Fax:870-670-4751
Is Sole Proprietor?:No
Enumeration Date:2016-01-21
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA004620363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR212127758Medicaid
AR212127758Medicaid