Healthcare Provider Details

I. General information

NPI: 1629013651
Provider Name (Legal Business Name): VALERIE A. SNYDER F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 06/02/2021
Certification Date: 06/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 W FARIS RD SUITE 330
GREENVILLE SC
29605-4247
US

IV. Provider business mailing address

300 E MCBEE AVE FL 4
GREENVILLE SC
29601-2842
US

V. Phone/Fax

Practice location:
  • Phone: 864-233-1112
  • Fax: 864-233-1204
Mailing address:
  • Phone: 864-522-8614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number68288
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: