Healthcare Provider Details

I. General information

NPI: 1649162355
Provider Name (Legal Business Name): JULIA SNYDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 COTTMAN AVE
PHILADELPHIA PA
19111-2497
US

IV. Provider business mailing address

436 STATION SQUARE BLVD
LANSDALE PA
19446-3994
US

V. Phone/Fax

Practice location:
  • Phone: 888-369-2427
  • Fax:
Mailing address:
  • Phone: 215-350-3055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberSP033314
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: