Healthcare Provider Details

I. General information

NPI: 1528952074
Provider Name (Legal Business Name): REBEKAH SNYDER RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2025
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

719 N COLUMBUS ST
LANCASTER OH
43130-2538
US

IV. Provider business mailing address

719 N COLUMBUS ST
LANCASTER OH
43130-2538
US

V. Phone/Fax

Practice location:
  • Phone: 740-777-8953
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License NumberRN509473
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: