Provider Demographics
NPI:1700063476
Name:SNIPES, CHERYL L (RN)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:L
Last Name:SNIPES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1104 LOMBARDY ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:SC
Mailing Address - Zip Code:29571-2005
Mailing Address - Country:US
Mailing Address - Phone:843-431-1100
Mailing Address - Fax:843-431-1103
Practice Address - Street 1:1104 LOMBARDY ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:SC
Practice Address - Zip Code:29571-2005
Practice Address - Country:US
Practice Address - Phone:843-431-1100
Practice Address - Fax:843-431-1103
Is Sole Proprietor?:No
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC19428163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health