Provider Demographics
NPI:1477861276
Name:SNOW, PATRICIA A
Entity Type:Individual
Prefix:MISS
First Name:PATRICIA
Middle Name:A
Last Name:SNOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2114 NEWTON RD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23663-1023
Mailing Address - Country:US
Mailing Address - Phone:757-725-0919
Mailing Address - Fax:
Practice Address - Street 1:2114 NEWTON RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23663-1023
Practice Address - Country:US
Practice Address - Phone:757-725-0919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-15
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker