Healthcare Provider Details

I. General information

NPI: 1730055005
Provider Name (Legal Business Name): ZACHARY SNELL NREMT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2025
Last Update Date: 11/22/2025
Certification Date: 11/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 ACADEMY ST
NEWARK DE
19711-4608
US

IV. Provider business mailing address

120 WILBUR ST APT E12
NEWARK DE
19711-2223
US

V. Phone/Fax

Practice location:
  • Phone: 443-485-1193
  • Fax:
Mailing address:
  • Phone: 443-485-1193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number0114497
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: