Provider Demographics
NPI:1639414162
Name:SNYDER, LINDA JO (RN)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:JO
Last Name:SNYDER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:JO
Other - Last Name:SNYDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:710 STATE ROUTE 821 UNIT 84
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98901-9336
Mailing Address - Country:US
Mailing Address - Phone:509-452-4573
Mailing Address - Fax:
Practice Address - Street 1:710 STATE ROUTE 821 UNIT 84
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98901-9336
Practice Address - Country:US
Practice Address - Phone:509-452-4573
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-10
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00120021163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse