Healthcare Provider Details

I. General information

NPI: 1366352320
Provider Name (Legal Business Name): ASHLY KAY SNYDER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

861 W MAPLE ST
LANCASTER WI
53813-1519
US

IV. Provider business mailing address

861 W MAPLE ST
LANCASTER WI
53813-1519
US

V. Phone/Fax

Practice location:
  • Phone: 608-723-4066
  • Fax:
Mailing address:
  • Phone: 608-723-4066
  • Fax: 608-723-2086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number232369-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: