Healthcare Provider Details

I. General information

NPI: 1356997456
Provider Name (Legal Business Name): KATHERINE SUSANNE SNYDER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2019
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6895 E HAMPDEN AVE
DENVER CO
80224-3047
US

IV. Provider business mailing address

6895 E HAMPDEN AVE
DENVER CO
80224-3047
US

V. Phone/Fax

Practice location:
  • Phone: 303-861-7878
  • Fax: 303-894-8066
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.0195637
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0994652-NP
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.0994652-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: