Provider Demographics
NPI:1821781485
Name:SNYDER, SARAH JANE (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:JANE
Last Name:SNYDER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 GREEN RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DU BOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-2337
Mailing Address - Country:US
Mailing Address - Phone:814-591-1735
Mailing Address - Fax:
Practice Address - Street 1:1900 RIVER RD
Practice Address - Street 2:
Practice Address - City:CLEARFIELD
Practice Address - State:PA
Practice Address - Zip Code:16830-6026
Practice Address - Country:US
Practice Address - Phone:814-205-1250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-31
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA064781363AM0700X
PAOA006530363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical