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NPI Code Detail

MEDICARE: AMY E SNOW CRNA

MEDICARE: AMY E SNOW CRNA
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
1367500000XCertified Registered Nurse Anesthetist1-074383AL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00281005OTHERALARM MEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2051533368OTHERALARM BCBS

General Provider Information

NPI Number : 1174500433
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY E SNOW CRNA
Provider Business Mailing Address
First Line : PO BOX 1123
Second Line :
City : JACKSON
State : MI
Zip : 49204-1123
Country : US
Telephone Number : 800-242-1131
Fax Number :
Provider Business Practice Location Address
First Line : 810 SAINT VINCENTS DR
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35205-1601
Country : US
Telephone Number : 205-939-7143
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2005
Last Update Date : 06/22/2010

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Directions to “ AMY E SNOW CRNA” Practice Location

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