Healthcare Provider Details

I. General information

NPI: 1942347836
Provider Name (Legal Business Name): SATCHIE B SNELLINGS CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MRS. SATCHIE S GODFREY

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 04/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1302 N 2ND ST
MONROE LA
71201
US

IV. Provider business mailing address

1302 N 2ND ST
MONROE LA
71201
US

V. Phone/Fax

Practice location:
  • Phone: 318-855-3437
  • Fax:
Mailing address:
  • Phone: 318-855-3437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number639390
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: