Provider Demographics
NPI:1932343456
Name:SNYDER, DAWN M (CRNP)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:M
Last Name:SNYDER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 2 BOX 284
Mailing Address - Street 2:
Mailing Address - City:FORT ASHBY
Mailing Address - State:WV
Mailing Address - Zip Code:26719-9223
Mailing Address - Country:US
Mailing Address - Phone:304-298-4250
Mailing Address - Fax:301-723-1480
Practice Address - Street 1:12501 WILLOWBROOK RD
Practice Address - Street 2:3RD FLOOR
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-2569
Practice Address - Country:US
Practice Address - Phone:301-723-1614
Practice Address - Fax:301-723-1480
Is Sole Proprietor?:No
Enumeration Date:2009-04-28
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2008004293363LF0000X
WV48572363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily