Provider Demographics
NPI:1932706660
Name:SNYDER, GREGORY DANIEL (CRNP, NP-C)
Entity type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:DANIEL
Last Name:SNYDER
Suffix:
Gender:M
Credentials:CRNP, NP-C
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Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1000 E MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18711-0027
Practice Address - Country:US
Practice Address - Phone:570-808-4772
Practice Address - Fax:570-808-6174
Is Sole Proprietor?:No
Enumeration Date:2020-10-06
Last Update Date:2025-08-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASP022621363L00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner