Provider Demographics
NPI:1366557944
Name:SNYDER, ROXANNE NEUENSCHWANDER (APRN BC FNP)
Entity type:Individual
Prefix:MS
First Name:ROXANNE
Middle Name:NEUENSCHWANDER
Last Name:SNYDER
Suffix:
Gender:F
Credentials:APRN BC FNP
Other - Prefix:
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Mailing Address - Street 1:546 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95695
Mailing Address - Country:US
Mailing Address - Phone:530-669-6644
Mailing Address - Fax:530-669-6644
Practice Address - Street 1:23 MAIN ST
Practice Address - Street 2:
Practice Address - City:WINTERS
Practice Address - State:CA
Practice Address - Zip Code:95694
Practice Address - Country:US
Practice Address - Phone:530-795-4377
Practice Address - Fax:530-795-3054
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAFNP12140363LF0000X
CA251967163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse