Healthcare Provider Details

I. General information

NPI: 1124384433
Provider Name (Legal Business Name): MAUREEN E SNYDER A.P.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2012
Last Update Date: 06/19/2023
Certification Date: 06/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 W ROOSEVELT BLVD STE 11&12
MARMORA NJ
08223-1441
US

IV. Provider business mailing address

4 W ROOSEVELT BLVD STE 11&12
MARMORA NJ
08223-1441
US

V. Phone/Fax

Practice location:
  • Phone: 609-814-9550
  • Fax:
Mailing address:
  • Phone: 609-814-9550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NJ00345200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: