Provider Demographics
NPI:1336251289
Name:SNYDER, HELEN LOUISA (CRNP CNM)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:LOUISA
Last Name:SNYDER
Suffix:
Gender:F
Credentials:CRNP CNM
Other - Prefix:
Other - First Name:ELENA
Other - Middle Name:LOUISA
Other - Last Name:SNYDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CFNP CNM
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:LA JARA
Mailing Address - State:NM
Mailing Address - Zip Code:87027
Mailing Address - Country:US
Mailing Address - Phone:505-289-2011
Mailing Address - Fax:
Practice Address - Street 1:6349 HIGHWAY 550
Practice Address - Street 2:CUBA HEALTH CENTER PRESBYTERIAN MEDICAL SERVICES
Practice Address - City:CUBA
Practice Address - State:NM
Practice Address - Zip Code:27013
Practice Address - Country:US
Practice Address - Phone:505-289-3291
Practice Address - Fax:505-289-9101
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR19147363L00000X
NM310367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM000B0709Medicaid
NM000B0709Medicaid