Healthcare Provider Details

I. General information

NPI: 1467929158
Provider Name (Legal Business Name): AUBREY JEAN D'ONOFRIO SNYDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2018
Last Update Date: 02/02/2025
Certification Date: 02/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 RITTENHOUSE CIR STE 4
BRISTOL PA
19007-1619
US

IV. Provider business mailing address

1022 PLUMLY RD
WEST CHESTER PA
19382-7545
US

V. Phone/Fax

Practice location:
  • Phone: 440-652-8748
  • Fax:
Mailing address:
  • Phone: 610-613-7810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP021322
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN644589
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: