Healthcare Provider Details

I. General information

NPI: 1831122274
Provider Name (Legal Business Name): ANA MARIA SNYDER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 10/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2775 S 8TH AVE
YUMA AZ
85364-7110
US

IV. Provider business mailing address

3990 W 17TH PL
YUMA AZ
85364-4938
US

V. Phone/Fax

Practice location:
  • Phone: 928-341-0700
  • Fax: 928-341-0900
Mailing address:
  • Phone: 928-373-0631
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number2686
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: