Healthcare Provider Details

I. General information

NPI: 1487464590
Provider Name (Legal Business Name): DELANEY SNYDER CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2025
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 N MAIN ST
COLUMBIANA OH
44408-1037
US

IV. Provider business mailing address

630 N MAIN ST
COLUMBIANA OH
44408-1037
US

V. Phone/Fax

Practice location:
  • Phone: 330-881-3484
  • Fax:
Mailing address:
  • Phone: 330-881-3484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0038397
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: