Healthcare Provider Details

I. General information

NPI: 1649031394
Provider Name (Legal Business Name): NICOLLE CORINNE SNYDER APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2024
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 ROUTE 31 STE 1200
FLEMINGTON NJ
08822-5755
US

IV. Provider business mailing address

215 STATE ROUTE 31 RM 116
FLEMINGTON NJ
08822-5752
US

V. Phone/Fax

Practice location:
  • Phone: 908-237-4106
  • Fax: 908-968-3181
Mailing address:
  • Phone: 908-477-8527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ14968900
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number26NJ14968900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: