Provider Demographics
NPI:1730578048
Name:SNIDER, JANET (RN)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:SNIDER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5747 LAURETTA ST
Mailing Address - Street 2:APT #9
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-1636
Mailing Address - Country:US
Mailing Address - Phone:402-432-0996
Mailing Address - Fax:
Practice Address - Street 1:5747 LAURETTA ST
Practice Address - Street 2:APT #9
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-1636
Practice Address - Country:US
Practice Address - Phone:402-432-0996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-10
Last Update Date:2015-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95050712163W00000X
NE49435163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse