Individual
JENNIFER L SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2411 E RIVERSIDE DR, APT F201, EAGLE, ID 83616
(509) 481-8295
(208) 523-8978
Mailing address
2411 E RIVERSIDE DR, APT F201, EAGLE, ID 83616-7545
(509) 481-8295
(208) 523-8978
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP30007244
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-896A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053714717
—
ID
Enumeration date
08/05/2006
Last updated
02/25/2020
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