Provider Demographics
NPI:1790535078
Name:SNYDER, KRISTEN (RN, CERTIFIED DOULA)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:SNYDER
Suffix:
Gender:F
Credentials:RN, CERTIFIED DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3394 COUNTY HIGHWAY 33
Mailing Address - Street 2:
Mailing Address - City:NEOGA
Mailing Address - State:IL
Mailing Address - Zip Code:62447-4092
Mailing Address - Country:US
Mailing Address - Phone:217-821-0275
Mailing Address - Fax:
Practice Address - Street 1:3394 COUNTY HIGHWAY 33
Practice Address - Street 2:
Practice Address - City:NEOGA
Practice Address - State:IL
Practice Address - Zip Code:62447-4092
Practice Address - Country:US
Practice Address - Phone:217-821-0275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula