Provider Demographics
NPI:1659662666
Name:SNYDER, KATHERINE A (ARNP)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:A
Last Name:SNYDER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:A
Other - Last Name:REDDING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP CDE JD
Mailing Address - Street 1:1250 PINE RIDGE RD
Mailing Address - Street 2:#101A
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-8913
Mailing Address - Country:US
Mailing Address - Phone:239-261-9990
Mailing Address - Fax:239-228-5247
Practice Address - Street 1:1250 PINE RIDGE RD
Practice Address - Street 2:#101A
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-8913
Practice Address - Country:US
Practice Address - Phone:239-261-9990
Practice Address - Fax:239-228-5247
Is Sole Proprietor?:No
Enumeration Date:2011-04-25
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR057185363LA2200X
PASP011336363LA2200X
FLARNP9403236363LA2200X
DELB-0000246363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health