Provider Demographics
NPI:1174336903
Name:SNOW, MICHELLE Y
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:Y
Last Name:SNOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 N MAPLE ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49442-9413
Mailing Address - Country:US
Mailing Address - Phone:231-286-7036
Mailing Address - Fax:
Practice Address - Street 1:88 N MAPLE ISLAND RD
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49442-9413
Practice Address - Country:US
Practice Address - Phone:231-286-7036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health