Provider Demographics
NPI:1396382800
Name:SNYDER, ALIX ANDREA (RN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:ALIX
Middle Name:ANDREA
Last Name:SNYDER
Suffix:
Gender:F
Credentials:RN, APRN, FNP-C
Other - Prefix:
Other - First Name:ALIX
Other - Middle Name:ANDREA
Other - Last Name:WHITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:910 PASEO DEL PLATA
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-3456
Mailing Address - Country:US
Mailing Address - Phone:937-728-2999
Mailing Address - Fax:
Practice Address - Street 1:1905 CURTIS B ELLIOTT DR
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76501-4788
Practice Address - Country:US
Practice Address - Phone:254-771-3374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-03
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX866036163W00000X
TXAP139050363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner