MEDICARE: SEMONE M SNIPE RIVERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366024317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEMONE M SNIPE RIVERS

Provider Business Mailing Address
First Line	:	116 T ST NE APT 244
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-5122
Country	:	US
Telephone Number	:	202-749-1277
Fax Number	:

Provider Business Practice Location Address
First Line	:	116 T ST NE APT 244
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-5122
Country	:	US
Telephone Number	:	202-749-1277
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2021
Last Update Date	:	04/28/2021

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Directions to “ SEMONE M SNIPE RIVERS ” Practice Location

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