Provider Demographics
NPI:1710688551
Name:SNELLER, CINDY RAE (DNP, RN, CNS)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:RAE
Last Name:SNELLER
Suffix:
Gender:F
Credentials:DNP, RN, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8001 E JAEGER ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85207-3272
Mailing Address - Country:US
Mailing Address - Phone:714-264-8560
Mailing Address - Fax:
Practice Address - Street 1:8001 E JAEGER ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85207-3272
Practice Address - Country:US
Practice Address - Phone:714-264-8560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ273537364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist