Provider Demographics
NPI:1891397212
Name:SNOKE, ELIZABETH A (APRN)
Entity Type:Individual
Prefix:MISS
First Name:ELIZABETH
Middle Name:A
Last Name:SNOKE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4135 VIA PIEDRA CIR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-1478
Mailing Address - Country:US
Mailing Address - Phone:941-402-9833
Mailing Address - Fax:
Practice Address - Street 1:4135 VIA PIEDRA CIR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-1478
Practice Address - Country:US
Practice Address - Phone:941-402-9833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-10
Last Update Date:2023-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11023995363L00000X
FLRN9341782163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine