Provider Demographics
NPI:1154358810
Name:SNYDER, FLORENCE E (MSN, CRNP)
Entity type:Individual
Prefix:
First Name:FLORENCE
Middle Name:E
Last Name:SNYDER
Suffix:
Gender:F
Credentials:MSN, CRNP
Other - Prefix:
Other - First Name:FLORENCE
Other - Middle Name:
Other - Last Name:KAMPMEIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, CRNP
Mailing Address - Street 1:153 E ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:AUDUBON
Mailing Address - State:NJ
Mailing Address - Zip Code:08106-1431
Mailing Address - Country:US
Mailing Address - Phone:856-547-0812
Mailing Address - Fax:
Practice Address - Street 1:307 EGG HARBOR RD
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-9406
Practice Address - Country:US
Practice Address - Phone:888-389-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00291600363LF0000X
PASP008411363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAQ42141Medicare UPIN
PA090389MTHMedicare ID - Type Unspecified