Healthcare Provider Details

I. General information

NPI: 1376331058
Provider Name (Legal Business Name): ANDREW SNYDER NRP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2025
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8230 OLD YORK RD
ELKINS PARK PA
19027-1514
US

IV. Provider business mailing address

8230 OLD YORK RD
ELKINS PARK PA
19027-1514
US

V. Phone/Fax

Practice location:
  • Phone: 215-885-1600
  • Fax:
Mailing address:
  • Phone: 215-885-1600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number096491
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number096491
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: