Provider Demographics
NPI:1144252974
Name:SNIVELY, CHRISTIE G (ARNP)
Entity type:Individual
Prefix:MS
First Name:CHRISTIE
Middle Name:G
Last Name:SNIVELY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:CHRISTIE
Other - Middle Name:GARZON
Other - Last Name:SNIVELY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 918025
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32891-8025
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-3003
Practice Address - Country:US
Practice Address - Phone:352-392-8183
Practice Address - Fax:352-392-9802
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2008-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2514552363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics