Provider Demographics
NPI:1245564673
Name:SNELL, SEAN A (CRNA)
Entity Type:Individual
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First Name:SEAN
Middle Name:A
Last Name:SNELL
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Gender:M
Credentials:CRNA
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Mailing Address - Street 1:406 S 30TH AVE
Mailing Address - Street 2:STE 202
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-3713
Mailing Address - Country:US
Mailing Address - Phone:509-972-1051
Mailing Address - Fax:509-972-4166
Practice Address - Street 1:690 CANTON ST
Practice Address - Street 2:SUITE 325
Practice Address - City:WESTWOOD
Practice Address - State:MA
Practice Address - Zip Code:02090-2321
Practice Address - Country:US
Practice Address - Phone:781-407-7713
Practice Address - Fax:781-407-0998
Is Sole Proprietor?:No
Enumeration Date:2009-10-02
Last Update Date:2016-08-31
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Provider Licenses
StateLicense IDTaxonomies
MA2262934367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered