Provider Demographics
NPI:1992040273
Name:SNYDER, COREY (CNM)
Entity Type:Individual
Prefix:
First Name:COREY
Middle Name:
Last Name:SNYDER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9119 W 74TH ST STE 300
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2229
Mailing Address - Country:US
Mailing Address - Phone:913-677-3113
Mailing Address - Fax:913-677-4514
Practice Address - Street 1:9119 W 74TH ST STE 300
Practice Address - Street 2:
Practice Address - City:SHAWNEE MISSION
Practice Address - State:KS
Practice Address - Zip Code:66204-2229
Practice Address - Country:US
Practice Address - Phone:913-677-3113
Practice Address - Fax:913-677-4514
Is Sole Proprietor?:No
Enumeration Date:2012-11-28
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COAPN.0990573-CNM367A00000X
KS77989367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife