Provider Demographics
NPI:1154916955
Name:SNOOK-MEYER, ELLEN KAY (LVN)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:KAY
Last Name:SNOOK-MEYER
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:ELLEN
Other - Middle Name:KAY
Other - Last Name:SNOOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:36065 SANTA FE AVE
Mailing Address - Street 2:
Mailing Address - City:FORT HOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76544-5060
Mailing Address - Country:US
Mailing Address - Phone:254-553-6002
Mailing Address - Fax:254-680-3560
Practice Address - Street 1:36065 SANTA FE AVE
Practice Address - Street 2:
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544-5060
Practice Address - Country:US
Practice Address - Phone:254-553-6002
Practice Address - Fax:254-680-3560
Is Sole Proprietor?:No
Enumeration Date:2021-03-03
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX209862164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse