Healthcare Provider Details

I. General information

NPI: 1235188947
Provider Name (Legal Business Name): DEBORAH J SNYDER-MILLER C.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 06/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18101 LORAIN AVE
CLEVELAND OH
44111-5612
US

IV. Provider business mailing address

275 SPRINGSIDE DR STE 100
AKRON OH
44333-4549
US

V. Phone/Fax

Practice location:
  • Phone: 216-476-7157
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberRN-167772
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: