Provider Demographics
NPI:1508418062
Name:SNYDER, TIFFANIE RENEE' (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:TIFFANIE
Middle Name:RENEE'
Last Name:SNYDER
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1804A HARPER RD
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-3331
Mailing Address - Country:US
Mailing Address - Phone:304-250-6047
Mailing Address - Fax:304-250-6048
Practice Address - Street 1:1804A HARPER RD
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-3331
Practice Address - Country:US
Practice Address - Phone:304-250-6047
Practice Address - Fax:304-250-6048
Is Sole Proprietor?:No
Enumeration Date:2019-07-15
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV103936363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily