Provider Demographics
NPI:1043016991
Name:SNIDER, MEGAN (MS, RD)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:SNIDER
Suffix:
Gender:
Credentials:MS, RD
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:HAMILTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD
Mailing Address - Street 1:3601 LAKE MARY RD APT 211
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86005-9214
Mailing Address - Country:US
Mailing Address - Phone:210-859-6859
Mailing Address - Fax:
Practice Address - Street 1:3601 LAKE MARY RD APT 211
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86005-9214
Practice Address - Country:US
Practice Address - Phone:210-859-6859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered