Provider Demographics
NPI:1861660961
Name:SNYDER, CARRIE WILSON (FNP-BC)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:WILSON
Last Name:SNYDER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32060 LONG NECK RD
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-6228
Mailing Address - Country:US
Mailing Address - Phone:302-645-3150
Mailing Address - Fax:302-645-3159
Practice Address - Street 1:26744 JOHN J WILLIAMS HWY
Practice Address - Street 2:OAK ORCHARD PROF SUITES #3
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-4645
Practice Address - Country:US
Practice Address - Phone:302-947-9767
Practice Address - Fax:302-947-9558
Is Sole Proprietor?:No
Enumeration Date:2008-02-12
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0000462363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner