Provider Demographics
NPI:1841765880
Name:PATEL, SNEHA R (APRN)
Entity Type:Individual
Prefix:MRS
First Name:SNEHA
Middle Name:R
Last Name:PATEL
Suffix:
Gender:F
Credentials:APRN
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Other - Middle Name:
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Mailing Address - Street 1:1250 JESSE JEWELL PKWY SE STE 200
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-3865
Mailing Address - Country:US
Mailing Address - Phone:777-290-7277
Mailing Address - Fax:770-553-7641
Practice Address - Street 1:1250 JESSE JEWELL PKWY SE STE 200
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3865
Practice Address - Country:US
Practice Address - Phone:777-290-7277
Practice Address - Fax:770-553-7641
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-05
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL9390258363LF0000X
GARN293855363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily