Provider Demographics
NPI:1407076318
Name:SNYDER, CRYSTAL GAYLE (CNA)
Entity Type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:GAYLE
Last Name:SNYDER
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1286 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PORT TREVORTON
Mailing Address - State:PA
Mailing Address - Zip Code:17864-9523
Mailing Address - Country:US
Mailing Address - Phone:570-374-7681
Mailing Address - Fax:
Practice Address - Street 1:2250 HICKORY RD
Practice Address - Street 2:SUITE 240
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1047
Practice Address - Country:US
Practice Address - Phone:570-524-0900
Practice Address - Fax:570-524-0910
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA9965485376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide