Healthcare Provider Details

I. General information

NPI: 1851046445
Provider Name (Legal Business Name): KRYSTA MICHELLE SNYDER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2022
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 S ARLINGTON AVE STE 203
RENO NV
89509-1525
US

IV. Provider business mailing address

6400 SHARLANDS AVE APT N1092
RENO NV
89523-2740
US

V. Phone/Fax

Practice location:
  • Phone: 775-657-9991
  • Fax: 775-384-2166
Mailing address:
  • Phone: 503-267-7520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number10030931
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number874661
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN89796
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: