Provider Demographics
NPI:1689823312
Name:SNEED-HORACE, SUSAN K (RN;BSN)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:K
Last Name:SNEED-HORACE
Suffix:
Gender:F
Credentials:RN;BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5235 CEDARFIELD DR
Mailing Address - Street 2:
Mailing Address - City:COTTLEVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63304-8016
Mailing Address - Country:US
Mailing Address - Phone:314-368-9585
Mailing Address - Fax:
Practice Address - Street 1:5235 CEDARFIELD DR.
Practice Address - Street 2:
Practice Address - City:COTTLEVILLE
Practice Address - State:MO
Practice Address - Zip Code:63304-8016
Practice Address - Country:US
Practice Address - Phone:314-368-9585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-18
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MORN140730163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management