Healthcare Provider Details

I. General information

NPI: 1235151408
Provider Name (Legal Business Name): NATALIE E. SNYDER PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 01/05/2024
Certification Date: 01/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 TECHNOLOGY DR STE 204
CANONSBURG PA
15317-9549
US

IV. Provider business mailing address

135 TECHNOLOGY DR STE 204
CANONSBURG PA
15317-9549
US

V. Phone/Fax

Practice location:
  • Phone: 724-399-3931
  • Fax:
Mailing address:
  • Phone: 724-399-3931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP008064
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP023027
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: