Healthcare Provider Details

I. General information

NPI: 1013739077
Provider Name (Legal Business Name): ERIN SNAZA-MEYER CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/30/2024
Last Update Date: 01/03/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1402 4TH ST
BROOKINGS SD
57006-2327
US

IV. Provider business mailing address

1402 4TH ST
BROOKINGS SD
57006-2327
US

V. Phone/Fax

Practice location:
  • Phone: 605-256-1407
  • Fax:
Mailing address:
  • Phone: 605-256-1407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberCP003499
License Number StateSD
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR041717
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: