NPIMap

Shannon Leslie Snyder, R.N.

Individual provider Active NPI Case Management Registered Nurse · Zimmerman, MN

NPI 1760775142 · NPPES record last updated May 18, 2011

Key facts

NPI
1760775142
Entity type
Individual (NPI type 1)
Primary specialty
Case Management Registered Nurse 163WC0400X
License
R-127118-4 (MN)
Practice address
12567 5TH Ave N
Suite 100
Zimmerman, MN 55398-8451
Phone
(763) 856-9955
Fax
(763) 856-9956
NPI assigned
May 18, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R-127118-4MNMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Home Care II, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R-127118-4 MN
Case Management Registered Nurse 163WC0400X R-127118-4 MN Yes

Addresses

Primary practice location

12567 5TH Ave N
Suite 100
Zimmerman, MN 55398-8451

Mailing address

12567 5TH Ave N
Suite 100
Zimmerman, MN 55398-8451
Phone (763) 856-9955

Other providers in Zimmerman, MN

All providers in Zimmerman, MN · Case Management Registered Nurse in Minnesota

Sources for this page

Verify at the official NPI Registry.