Healthcare Provider Details

I. General information

NPI: 1659882157
Provider Name (Legal Business Name): EMILY J SNEZEK RN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2017
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE
CLEVELAND OH
44195-1642
US

IV. Provider business mailing address

8319 WINDSOR WAY
BROADVIEW HEIGHTS OH
44147-1793
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-2200
  • Fax:
Mailing address:
  • Phone: 502-649-1290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.021842
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: