Provider Demographics
NPI:1972375350
Name:SNOW, CHANDRA MICHELLE (CNM)
Entity type:Individual
Prefix:MRS
First Name:CHANDRA
Middle Name:MICHELLE
Last Name:SNOW
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 E DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:COLFAX
Mailing Address - State:IA
Mailing Address - Zip Code:50054-1122
Mailing Address - Country:US
Mailing Address - Phone:515-402-5813
Mailing Address - Fax:
Practice Address - Street 1:610 E DIVISION ST
Practice Address - Street 2:
Practice Address - City:COLFAX
Practice Address - State:IA
Practice Address - Zip Code:50054-1122
Practice Address - Country:US
Practice Address - Phone:515-402-5813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-27
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA150368163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn