Healthcare Provider Details

I. General information

NPI: 1326888132
Provider Name (Legal Business Name): RACHEL SNYDER CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2024
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2648 LEVEL LOOP RD
VIRGINIA BEACH VA
23456-6716
US

IV. Provider business mailing address

2648 LEVEL LOOP RD
VIRGINIA BEACH VA
23456-6716
US

V. Phone/Fax

Practice location:
  • Phone: 804-212-6521
  • Fax:
Mailing address:
  • Phone: 804-212-6521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number0024189737
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: