Healthcare Provider Details

I. General information

NPI: 1154622835
Provider Name (Legal Business Name): ANSLEY M SNAPP CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2010
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2540 WINDY HILL RD SE
MARIETTA GA
30067-8605
US

IV. Provider business mailing address

606 THE OAKS DR
ELLIJAY GA
30540-2164
US

V. Phone/Fax

Practice location:
  • Phone: 770-794-0477
  • Fax: 770-794-3108
Mailing address:
  • Phone: 404-316-2508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number0024169188
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN170678
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: