Healthcare Provider Details

I. General information

NPI: 1760140255
Provider Name (Legal Business Name): BRIANNA K SNIDER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2021
Last Update Date: 02/21/2024
Certification Date: 02/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 S CLINTON ST STE 168
IOWA CITY IA
52240-4034
US

IV. Provider business mailing address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

V. Phone/Fax

Practice location:
  • Phone: 319-384-0520
  • Fax: 319-384-0603
Mailing address:
  • Phone: 319-384-0520
  • Fax: 319-384-0603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA161520
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: