Provider Demographics
NPI:1932715547
Name:DORAN-SNYDER, MAURA ANN (FNP-C)
Entity Type:Individual
Prefix:
First Name:MAURA
Middle Name:ANN
Last Name:DORAN-SNYDER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1332 LINDEN ST STE 1
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-3289
Mailing Address - Country:US
Mailing Address - Phone:720-680-0018
Mailing Address - Fax:720-680-0019
Practice Address - Street 1:1332 LINDEN ST STE 1
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-3289
Practice Address - Country:US
Practice Address - Phone:720-680-0018
Practice Address - Fax:720-680-0019
Is Sole Proprietor?:No
Enumeration Date:2020-09-18
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORXN.0105405NP207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CORXN.0105405NPOtherDORA COLORADO