MEDICARE: LAURA SNIDER CONSULTING, LLC

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	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1366649675
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAURA SNIDER CONSULTING, LLC

Provider Business Mailing Address
First Line	:	5401 NORTH 300 WEST
Second Line	:
City	:	MCCORDSVILLE
State	:	IN
Zip	:	46055-9566
Country	:	US
Telephone Number	:	317-753-1887
Fax Number	:

Provider Business Practice Location Address
First Line	:	5401 NORTH 300 WEST
Second Line	:
City	:	MCCORDSVILLE
State	:	IN
Zip	:	46055-9566
Country	:	US
Telephone Number	:	317-753-1887
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	LAURA FAYE SNIDER
Credential	:	NURSE PRACTITIONER
Telephone Number	:	317-753-1887

Provider Enumeration Date	:	06/29/2007
Last Update Date	:	03/17/2025

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