Provider Demographics
NPI:1851046445
Name:SNYDER, KRYSTA MICHELLE (APRN)
Entity Type:Individual
Prefix:
First Name:KRYSTA
Middle Name:MICHELLE
Last Name:SNYDER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6400 SHARLANDS AVE APT N1092
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-2740
Mailing Address - Country:US
Mailing Address - Phone:503-267-7520
Mailing Address - Fax:
Practice Address - Street 1:505 S ARLINGTON AVE STE 203
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-1525
Practice Address - Country:US
Practice Address - Phone:775-657-9991
Practice Address - Fax:775-384-2166
Is Sole Proprietor?:No
Enumeration Date:2022-02-13
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV874661363LP0808X
NVRN89796163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse