Healthcare Provider Details

I. General information

NPI: 1558023424
Provider Name (Legal Business Name): ALEXANDER SNAVLEY CNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2021
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 PARKWOOD PL
DUBLIN OH
43016-1216
US

IV. Provider business mailing address

5900 PARKWOOD PL
DUBLIN OH
43016-1216
US

V. Phone/Fax

Practice location:
  • Phone: 614-767-8624
  • Fax: 833-806-9229
Mailing address:
  • Phone: 614-767-8624
  • Fax: 833-806-9229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.0029887
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: