Provider Demographics
NPI:1104479674
Name:SNIDER, CAROL WENTE (AGACNP-BC)
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:WENTE
Last Name:SNIDER
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5829 E CALEY DR
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4363
Mailing Address - Country:US
Mailing Address - Phone:860-608-2686
Mailing Address - Fax:
Practice Address - Street 1:27454 E EUCLID DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-2508
Practice Address - Country:US
Practice Address - Phone:860-608-2686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-23
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0994791-NP363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care