MEDICARE: DR. NANCY JOY SNAPP M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD00020295	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	159874	OTHER	L&I
2	3554SN	OTHER	REGENCE BLUESHIELD
3	7346445	OTHER	AETNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053429654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY JOY SNAPP M.D.

Provider Business Mailing Address
First Line	:	PO BOX 24911
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98124-0911
Country	:	US
Telephone Number	:	206-788-3683
Fax Number	:

Provider Business Practice Location Address
First Line	:	720 8TH AVE S
Second Line	:	SUITE 100
City	:	SEATTLE
State	:	WA
Zip	:	98104-3032
Country	:	US
Telephone Number	:	206-788-3729
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	10/29/2007

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