Provider Demographics
NPI:1366649675
Name:LAURA SNIDER CONSULTING, LLC
Entity Type:Organization
Organization Name:LAURA SNIDER CONSULTING, LLC
Other - Org Name:INHOUSE PRIMARY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:SNIDER
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:317-753-1887
Mailing Address - Street 1:5401 NORTH 300 WEST
Mailing Address - Street 2:
Mailing Address - City:MCCORDSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46055-9566
Mailing Address - Country:US
Mailing Address - Phone:317-753-1887
Mailing Address - Fax:
Practice Address - Street 1:5401 NORTH 300 WEST
Practice Address - Street 2:
Practice Address - City:MCCORDSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46055-9566
Practice Address - Country:US
Practice Address - Phone:317-753-1887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71000368A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty