Healthcare Provider Details

I. General information

NPI: 1477844223
Provider Name (Legal Business Name): ONDREA SNYDER MS, APN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2011
Last Update Date: 04/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 E VICTORIA CIR
NORTH AURORA IL
60542-5107
US

IV. Provider business mailing address

411 E VICTORIA CIR
NORTH AURORA IL
60542-5107
US

V. Phone/Fax

Practice location:
  • Phone: 630-907-1778
  • Fax:
Mailing address:
  • Phone: 630-907-1778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209.008663
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: