Individual
REBECCA R SNIDER-FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCNS
Contact information
Practice address
6835 BROADWAY AVE, METROHEALTH BROADWAY HEALTH CENTER, CLEVELAND, OH 44105-1313
(216) 957-1807
Mailing address
6835 BROADWAY AVE, METROHEALTH BROADWAY HEALTH CENTER, CLEVELAND, OH 44105-1313
(216) 957-1807
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
NS02942
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2209292
—
OH
Enumeration date
07/13/2006
Last updated
07/08/2007
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