Healthcare Provider Details

I. General information

NPI: 1942690425
Provider Name (Legal Business Name): MEGHAN CATHERINE SNYDER FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2015
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

416B N 3RD ST
HAMMONTON NJ
08037-1740
US

IV. Provider business mailing address

416B N 3RD ST
HAMMONTON NJ
08037-1740
US

V. Phone/Fax

Practice location:
  • Phone: 609-402-4900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP014576
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15194200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: