Healthcare Provider Details

I. General information

NPI: 1073864153
Provider Name (Legal Business Name): ANGELA SNYDER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2012
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 HAYES AVENUE
SANDUSKY OH
44870-3323
US

IV. Provider business mailing address

1002 W COLLEGE AVE
WOODVILLE OH
43469-1034
US

V. Phone/Fax

Practice location:
  • Phone: 419-557-7400
  • Fax: 419-557-7782
Mailing address:
  • Phone: 419-206-7931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.13831
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: