Healthcare Provider Details

I. General information

NPI: 1457188609
Provider Name (Legal Business Name): KATHERINE LYNNE SNYDER APRN.CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2024
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36901 AMERICAN WAY STE A
AVON OH
44011-4058
US

IV. Provider business mailing address

9500 EUCLID AVE
CLEVELAND OH
44195-2094
US

V. Phone/Fax

Practice location:
  • Phone: 440-960-6200
  • Fax: 440-960-6222
Mailing address:
  • Phone: 216-444-2200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRN.CNP.0037477
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: