Healthcare Provider Details

I. General information

NPI: 1891439675
Provider Name (Legal Business Name): LINDSEY MARIE SNIDER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2022
Last Update Date: 02/17/2025
Certification Date: 02/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 PFEIFFER RD STE 360
MONTGOMERY OH
45242-5861
US

IV. Provider business mailing address

6200 PFEIFFER RD STE 360
MONTGOMERY OH
45242-5861
US

V. Phone/Fax

Practice location:
  • Phone: 513-862-4957
  • Fax: 513-862-4952
Mailing address:
  • Phone: 513-862-4957
  • Fax: 513-862-4952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number503360
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0031930
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: