Individual
KRISTEN SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CERTIFIED DOULA
Contact information
Practice address
3394 COUNTY HIGHWAY 33, NEOGA, IL 62447-4092
(217) 821-0275
Mailing address
3394 COUNTY HIGHWAY 33, NEOGA, IL 62447-4092
(217) 821-0275
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0109251446
SIU MEDICAID PROGRAM
IL
Enumeration date
03/27/2024
Last updated
01/16/2025
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