Provider Demographics
NPI:1275736951
Name:SNYDER, BARBARA (ANP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:SNYDER
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 BRIGHTON DR
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-1801
Mailing Address - Country:US
Mailing Address - Phone:856-596-2154
Mailing Address - Fax:
Practice Address - Street 1:300 ETRA DRIVE
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520
Practice Address - Country:US
Practice Address - Phone:609-426-6631
Practice Address - Fax:609-428-6630
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00039400363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJQ68662Medicare UPIN
NJ100619M8TMedicare PIN