Basic Information
| Provider Information | |||||||||
| NPI: | 1972663417 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SNOVER | ||||||||
| FirstName: | SHARON | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | APRN-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 112 LOFTON DR | ||||||||
| Address2: | APT N HEATHER RIDGE APTS | ||||||||
| City: | FAYETTEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 28311 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9103398262 | ||||||||
| FaxNumber: | 9108227970 | ||||||||
| Practice Location | |||||||||
| Address1: | 2300 RAMSEY STREET | ||||||||
| Address2: | |||||||||
| City: | FAYETTEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 28311 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9103398262 | ||||||||
| FaxNumber: | 9108227970 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/12/2006 | ||||||||
| LastUpdateDate: | 11/10/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2200X | F3043861 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health |
No ID Information.