Provider Demographics
NPI:1588892251
Name:SNELL, YOLANDA MEASHELL (SA-C)
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:MEASHELL
Last Name:SNELL
Suffix:
Gender:F
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3216 WINSTON TERRACE
Mailing Address - Street 2:411
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014
Mailing Address - Country:US
Mailing Address - Phone:817-501-1375
Mailing Address - Fax:
Practice Address - Street 1:3216 WINSTON TERRACE
Practice Address - Street 2:411
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014
Practice Address - Country:US
Practice Address - Phone:817-501-1375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-01
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical