Provider Demographics
NPI:1538282215
Name:SNYDER, CAROL D (LPN)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:D
Last Name:SNYDER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 78
Mailing Address - Street 2:
Mailing Address - City:PIERPONT
Mailing Address - State:OH
Mailing Address - Zip Code:44082-0078
Mailing Address - Country:US
Mailing Address - Phone:440-577-1579
Mailing Address - Fax:
Practice Address - Street 1:1544 ROUTE 7
Practice Address - Street 2:
Practice Address - City:PIERPONT
Practice Address - State:OH
Practice Address - Zip Code:44082-0078
Practice Address - Country:US
Practice Address - Phone:440-577-1579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.080893164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse