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NPI Code Detail

MEDICARE: SHERIDAN HOPE SNIVELY

MEDICARE: SHERIDAN HOPE SNIVELY
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
13747A0650XAttendant Care Provider

Other Identifiers

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

General Provider Information

NPI Number : 1720613110
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERIDAN HOPE SNIVELY
Provider Business Mailing Address
First Line : 1302 BROADWAY ST APT 411
Second Line :
City : PEARLAND
State : TX
Zip : 77581-6332
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5627 LAUREL CREEK WAY
Second Line :
City : HOUSTON
State : TX
Zip : 77017-6838
Country : US
Telephone Number : 432-269-8184
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2020
Last Update Date : 03/06/2020

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Directions to “ SHERIDAN HOPE SNIVELY ” Practice Location

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