| Doctor Name: | MRS. GRACE ELIZABETH SNEARY |
| NPI Number: | 1003295833 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, BSN, MSN |
| License Number: | 71005551A |
| Business Practice Address: | 1302 Minnich Rd New Haven, IN - 467742052 |
| Business Phone Number: | 2604696201 |
| Business Fax Number: | 2604939394 |
| Mailing Address: | 7916 W Jefferson Blvd, FORT WAYNE |
| State: | IN |
| Postal Code: | 468044140 |
| Phone Number: | 2604346071 |
| Fax Number: | 2604346389 |
| NPI Enumeration Date: | 05/26/2015 |
| NPI Last Update Date: | 07/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 71005551A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |