Provider Demographics
NPI:1285389221
Name:SNELL, TINA LOUISE (APRN, PMHNP)
Entity type:Individual
Prefix:
First Name:TINA
Middle Name:LOUISE
Last Name:SNELL
Suffix:
Gender:F
Credentials:APRN, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 N 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-1844
Mailing Address - Country:US
Mailing Address - Phone:740-424-0500
Mailing Address - Fax:
Practice Address - Street 1:740 N 6TH AVE
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-1844
Practice Address - Country:US
Practice Address - Phone:740-996-7100
Practice Address - Fax:740-282-5591
Is Sole Proprietor?:No
Enumeration Date:2022-02-17
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLE-00040111363LP0808X
WV108768363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health