MEDICARE: MRS. AMANDA ELIZABETH SNYDER CRNA

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	367500000X	Certified Registered Nurse Anesthetist	R0087955	OK

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	:	1700044831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMANDA ELIZABETH SNYDER CRNA

Provider Business Mailing Address
First Line	:	7162 GREENBRIER DR
Second Line	:
City	:	OWASSO
State	:	OK
Zip	:	74055-5853
Country	:	US
Telephone Number	:	785-806-4531
Fax Number	:

Provider Business Practice Location Address
First Line	:	2408 E 81ST ST STE 300
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74137-4215
Country	:	US
Telephone Number	:	918-477-5000
Fax Number	:

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

Provider Enumeration Date	:	05/27/2008
Last Update Date	:	10/17/2017

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