Healthcare Provider Details

I. General information

NPI: 1609524990
Provider Name (Legal Business Name): CINDY MARIE SNYDER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2022
Last Update Date: 03/15/2022
Certification Date: 03/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 W MAIN ST
MANCHESTER IA
52057-1526
US

IV. Provider business mailing address

PO BOX 359
MANCHESTER IA
52057-0359
US

V. Phone/Fax

Practice location:
  • Phone: 563-927-7526
  • Fax:
Mailing address:
  • Phone: 563-927-7526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberA167875
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: