Healthcare Provider Details

I. General information

NPI: 1043016991
Provider Name (Legal Business Name): MEGAN SNIDER MS, RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN HAMILTON MS, RD

II. Dates (important events)

Enumeration Date: 02/21/2025
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 LAKE MARY RD APT 211
FLAGSTAFF AZ
86005-9214
US

IV. Provider business mailing address

3601 LAKE MARY RD APT 211
FLAGSTAFF AZ
86005-9214
US

V. Phone/Fax

Practice location:
  • Phone: 210-859-6859
  • Fax:
Mailing address:
  • Phone: 210-859-6859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: