Provider Demographics
NPI:1386308625
Name:SNADER, DAVIDA CRISTINE
Entity type:Individual
Prefix:MRS
First Name:DAVIDA
Middle Name:CRISTINE
Last Name:SNADER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4272 AUGSPURGER RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-8317
Mailing Address - Country:US
Mailing Address - Phone:513-675-0017
Mailing Address - Fax:
Practice Address - Street 1:631 WOODLAWN AVE APT 510
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45015-1056
Practice Address - Country:US
Practice Address - Phone:513-413-6806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-22
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty