Provider Demographics
NPI:1578515805
Name:SNIDOW, SHEILA R (APRN)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:R
Last Name:SNIDOW
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:PO BOX 457
Mailing Address - Street 2:200 POCAHONTAS TRAIL
Mailing Address - City:WHITE SULPHUR SPRINGS
Mailing Address - State:WV
Mailing Address - Zip Code:24986-0457
Mailing Address - Country:US
Mailing Address - Phone:304-536-5030
Mailing Address - Fax:304-536-5031
Practice Address - Street 1:756 ATHENS RD
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24740-6261
Practice Address - Country:US
Practice Address - Phone:304-425-0716
Practice Address - Fax:304-487-1322
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2016-09-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WV45578363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVWV6749AMedicare PIN