Healthcare Provider Details

I. General information

NPI: 1447060348
Provider Name (Legal Business Name): TAYLOR LOGANNE SNYDER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2025
Last Update Date: 01/13/2025
Certification Date: 01/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6847 N CHESTNUT ST
RAVENNA OH
44266-3929
US

IV. Provider business mailing address

223 ASHLYNN CT
NEWTON FALLS OH
44444-8768
US

V. Phone/Fax

Practice location:
  • Phone: 330-297-2795
  • Fax:
Mailing address:
  • Phone: 330-979-4823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberRN.461842
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: