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NPI Code Detail

MEDICARE: AUTUMN SNYDER

MEDICARE: AUTUMN SNYDER
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
1163W00000XRegistered Nurse1663187CO

General Provider Information

NPI Number : 1417888140
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUTUMN SNYDER
Provider Business Mailing Address
First Line : 3755 BILBERRY ST APT 212
Second Line :
City : CASTLE ROCK
State : CO
Zip : 80109-3219
Country : US
Telephone Number : 720-696-4766
Fax Number :
Provider Business Practice Location Address
First Line : 1700 WHEELING ST
Second Line :
City : AURORA
State : CO
Zip : 80045-7211
Country : US
Telephone Number : 303-399-8020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2026
Last Update Date : 05/29/2026

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Directions to “ AUTUMN SNYDER ” Practice Location

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