Healthcare Provider Details

I. General information

NPI: 1629325295
Provider Name (Legal Business Name): DANIEL E SNYDER CRNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2012
Last Update Date: 11/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 RENAISSANCE DR SUITE 301
BUTLER PA
16001-7612
US

IV. Provider business mailing address

200 RENAISSANCE DR SUITE 301
BUTLER PA
16001-7612
US

V. Phone/Fax

Practice location:
  • Phone: 724-287-1880
  • Fax: 724-282-1848
Mailing address:
  • Phone: 724-287-1880
  • Fax: 724-282-1848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP012164
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: