Provider Demographics
NPI:1023611407
Name:SNAVELY, CYNTHIA LEE
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:LEE
Last Name:SNAVELY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 DOGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-2738
Mailing Address - Country:US
Mailing Address - Phone:419-569-7789
Mailing Address - Fax:
Practice Address - Street 1:2083 FARMLAND DR
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-3356
Practice Address - Country:US
Practice Address - Phone:740-815-5321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-18
Last Update Date:2020-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker