Provider Demographics
NPI:1699342642
Name:SNYDER, EMILY BROGHAN SCHUTSKY (NP)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:BROGHAN SCHUTSKY
Last Name:SNYDER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10599 N TATUM BLVD
Mailing Address - Street 2:
Mailing Address - City:PARADISE VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-1053
Mailing Address - Country:US
Mailing Address - Phone:480-991-9271
Mailing Address - Fax:
Practice Address - Street 1:10599 N TATUM BLVD
Practice Address - Street 2:
Practice Address - City:PARADISE VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85253-1053
Practice Address - Country:US
Practice Address - Phone:480-991-9271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-08
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ258765363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily