Healthcare Provider Details
I. General information
NPI: 1518905371
Provider Name (Legal Business Name): BARBARA KATHLEEN SNYDER R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 06/03/2006
Last Update Date: 09/06/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7725 REYNOLDSBURG BALTIMORE RD
PICKERINGTON OH
43147-9268
US
IV. Provider business mailing address
7725 REYNOLDSBURG BALTIMORE RD
PICKERINGTON OH
43147-9268
US
V. Phone/Fax
- Phone: 614-833-2570
- Fax: 614-833-2570
- Phone: 614-833-2570
- Fax: 614-833-2570
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 193912 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: