Healthcare Provider Details
I. General information
NPI: 1578041307
Provider Name (Legal Business Name): MEGAN ANN SNIDER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/03/2018
Last Update Date: 08/08/2024
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1411 SUPERIOR ST
LINCOLN NE
68521-1946
US
IV. Provider business mailing address
1808 FAIRFIELD ST
LINCOLN NE
68521-1707
US
V. Phone/Fax
- Phone: 402-477-9200
- Fax:
- Phone: 402-617-3325
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 112581 |
| License Number State | NE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: