MEDICARE: RACHEL SNYDER CPNP-PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	0024189737	VA

General Provider Information

NPI Number	:	1326888132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL SNYDER CPNP-PC

Provider Business Mailing Address
First Line	:	2648 LEVEL LOOP RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-6716
Country	:	US
Telephone Number	:	804-212-6521
Fax Number	:

Provider Business Practice Location Address
First Line	:	2648 LEVEL LOOP RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-6716
Country	:	US
Telephone Number	:	804-212-6521
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2024
Last Update Date	:	05/29/2024

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