MEDICARE: MRS. ANGELA MARIA SNYDER MSN, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	28911	TN
2	363LF0000X	Family Nurse Practitioner	209.012167	IL
3	363LF0000X	Family Nurse Practitioner	209012167	IL

General Provider Information

NPI Number	:	1396143871
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANGELA MARIA SNYDER MSN, FNP-BC

Provider Business Mailing Address
First Line	:	2615 CLARKE ST
Second Line	:
City	:	RIVER GROVE
State	:	IL
Zip	:	60171-1662
Country	:	US
Telephone Number	:	630-561-4345
Fax Number	:

Provider Business Practice Location Address
First Line	:	2615 CLARKE ST
Second Line	:
City	:	RIVER GROVE
State	:	IL
Zip	:	60171-1662
Country	:	US
Telephone Number	:	630-561-4345
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2014
Last Update Date	:	01/19/2026

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