Provider Demographics
NPI:1790720860
Name:SNEATH, DIANE MCCLOUD (CRNP)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:MCCLOUD
Last Name:SNEATH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:202 ATLEE RD
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-3836
Mailing Address - Country:US
Mailing Address - Phone:610-692-7126
Mailing Address - Fax:610-692-7142
Practice Address - Street 1:320 N HIGH ST
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-2614
Practice Address - Country:US
Practice Address - Phone:610-692-7126
Practice Address - Fax:610-692-7142
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PATP002242G363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health