Provider Demographics
NPI:1801567037
Name:ALICIA SNOW FNP LLC
Entity type:Organization
Organization Name:ALICIA SNOW FNP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SNOW
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:207-230-1131
Mailing Address - Street 1:10 BIG ROCK RD
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04849-3467
Mailing Address - Country:US
Mailing Address - Phone:207-230-1131
Mailing Address - Fax:207-230-1134
Practice Address - Street 1:91 ELM ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:ME
Practice Address - Zip Code:04843-1906
Practice Address - Country:US
Practice Address - Phone:207-659-1281
Practice Address - Fax:207-659-1281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-27
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty