Doctor Name: | EMILY SNAVELY DE LA ROSA |
NPI Number: | 1003116633 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | AP3794 |
Business Practice Address: | 707 N Alvernon Way Ste. 101 Tucson, AZ - 857111827 |
Business Phone Number: | 5206941640 |
Business Fax Number: | |
Mailing Address: | 707 N Alvernon Way, Ste. 101 TUCSON |
State: | AZ |
Postal Code: | 857111827 |
Phone Number: | 5206941640 |
Fax Number: | |
NPI Enumeration Date: | 10/29/2010 |
NPI Last Update Date: | 06/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP3794 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |