Healthcare Provider Details

I. General information

NPI: 1548911720
Provider Name (Legal Business Name): RACHEL SUZANNE SNYDER CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2022
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6525 FRANCE AVE S STE 305
EDINA MN
55435-2177
US

IV. Provider business mailing address

6525 FRANCE AVE S STE 305
EDINA MN
55435-2177
US

V. Phone/Fax

Practice location:
  • Phone: 952-767-3163
  • Fax: 952-925-1579
Mailing address:
  • Phone: 952-767-3163
  • Fax: 952-925-1579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number8756
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: