Provider Demographics
NPI:1184902298
Name:SNYDER, STEFANIE (RN, CRNP)
Entity type:Individual
Prefix:
First Name:STEFANIE
Middle Name:
Last Name:SNYDER
Suffix:
Gender:F
Credentials:RN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 CROSSROADS RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SCOTTDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15683-2458
Mailing Address - Country:US
Mailing Address - Phone:724-887-3161
Mailing Address - Fax:724-887-3548
Practice Address - Street 1:109 CROSSROADS RD
Practice Address - Street 2:SUITE 201
Practice Address - City:SCOTTDALE
Practice Address - State:PA
Practice Address - Zip Code:15683-2458
Practice Address - Country:US
Practice Address - Phone:724-887-3161
Practice Address - Fax:724-887-3548
Is Sole Proprietor?:No
Enumeration Date:2011-07-25
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN602401163W00000X
PASPO11503363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse