Provider Demographics
NPI:1396573218
Name:SNIDER, BRITTANY LEIGH
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LEIGH
Last Name:SNIDER
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 1:176 SUNSHINE VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:SHINNSTON
Mailing Address - State:WV
Mailing Address - Zip Code:26431-7223
Mailing Address - Country:US
Mailing Address - Phone:318-302-1106
Mailing Address - Fax:
Practice Address - Street 1:176 SUNSHINE VALLEY DR
Practice Address - Street 2:
Practice Address - City:SHINNSTON
Practice Address - State:WV
Practice Address - Zip Code:26431-7223
Practice Address - Country:US
Practice Address - Phone:318-302-1106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant