Healthcare Provider Details

I. General information

NPI: 1467103556
Provider Name (Legal Business Name): ANGELA MARIE SNYDER MSN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2022
Last Update Date: 01/11/2022
Certification Date: 01/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1188 SKYLAND DR
SYLVA NC
28779-8002
US

IV. Provider business mailing address

194 BIG COVE RD
CANDLER NC
28715-8575
US

V. Phone/Fax

Practice location:
  • Phone: 828-339-2273
  • Fax:
Mailing address:
  • Phone: 828-216-2495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5015607
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: