Provider Demographics
NPI:1316114259
Name:SNYDER, COURTNEY E (ACNP)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:E
Last Name:SNYDER
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10510 N 92ND ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4566
Mailing Address - Country:US
Mailing Address - Phone:480-323-1350
Mailing Address - Fax:480-323-1359
Practice Address - Street 1:10510 N 92ND ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4566
Practice Address - Country:US
Practice Address - Phone:480-323-1350
Practice Address - Fax:480-323-1359
Is Sole Proprietor?:No
Enumeration Date:2008-05-09
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP3910363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ949044Medicaid