Healthcare Provider Details

I. General information

NPI: 1336725449
Provider Name (Legal Business Name): KELLY ANN SNYDER DNP, CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KELLY ANN THOMAS

II. Dates (important events)

Enumeration Date: 03/19/2021
Last Update Date: 10/11/2023
Certification Date: 10/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 UNIVERSITY DR
HERSHEY PA
17033-2360
US

IV. Provider business mailing address

500 UNIVERSITY DR MC CA410
HERSHEY PA
17033-2360
US

V. Phone/Fax

Practice location:
  • Phone: 717-531-8955
  • Fax: 717-531-4587
Mailing address:
  • Phone: 717-531-5208
  • Fax: 717-531-0119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP023312
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: