Healthcare Provider Details

I. General information

NPI: 1053131854
Provider Name (Legal Business Name): CHESNEY SNYDERS DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2024
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7501 METCALF AVE
OVERLAND PARK KS
66204-2927
US

IV. Provider business mailing address

1989 MAIN ST UNIT 642
KANSAS CITY MO
64108-2756
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax:
Mailing address:
  • Phone: 402-490-7171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-83641-041
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: