Healthcare Provider Details

I. General information

NPI: 1629555271
Provider Name (Legal Business Name): ANDREA NICOLE SNYDER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANDREA REED

II. Dates (important events)

Enumeration Date: 07/26/2018
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 CHAMBERS CIRCLE RD
WALKER WV
26180-3585
US

IV. Provider business mailing address

47 CHAMBERS CIRCLE RD
WALKER WV
26180-3585
US

V. Phone/Fax

Practice location:
  • Phone: 304-679-3009
  • Fax:
Mailing address:
  • Phone: 304-679-3009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN68532-FNP-BC
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: